Buck Jack, LLC
NPI 1124872809ActiveOrganization· Occupational Therapist· Denver, CO
Occupational Therapist in Denver, Colorado, registered in NPPES in April 2024. The authorized official on file is Tanner Hall, Credentialing Specialist.
Overview
| NPI | 1124872809 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 17, 2024 |
| Last updated in NPPES | Apr 17, 2024 |
| Certified by provider | Apr 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | — | — |
| Behavior Analyst | 103K00000X | — | — |
| Behavior Technician | 106S00000X | — | — |
| Physical Therapist | 225100000X | — | — |
| Speech-Language Pathologist | 235Z00000X | — | — |
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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All 470 occupational therapists in Denver · All occupational therapists in Colorado