Buck Jack, LLC
NPI 1073491429ActiveOrganization· Occupational Therapist· Pueblo, CO
Occupational Therapist in Pueblo, Colorado, registered in NPPES in August 2025. The authorized official on file is Tanner Hall, Internal Operations Manager.
Overview
| NPI | 1073491429 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 25, 2025 |
| Last updated in NPPES | Aug 25, 2025 |
| Certified by provider | Aug 25, 2025 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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