BUCK JACK, LLC
NPI 1073491429
Occupational Therapist in Pueblo, CO

Active since August 25, 2025
4025 CLUB MANOR DR, PUEBLO, CO 81008(719) 597-0822 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Buck Jack, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BUCK JACK, LLC (NPI 1073491429), doing business as Woven Care, is a healthcare organization registered as an occupational therapist in Pueblo, Colorado and active in the NPI registry since August 2025. The organization lists Tanner Hall, Internal Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1073491429
Entity TypeOrganization
Primary Taxonomy225X00000X
Legal Business NameBUCK JACK, LLC
Location Address4025 CLUB MANOR DRPueblo, CO 81008-2004
Mailing Address2233 Academy Pl Ste 200Colorado Springs, CO 80909-1666 · (719) 597-0822 · Fax (719) 599-4606
Organization SubpartNo
Authorized OfficialTanner HallInternal Operations Manager · (719) 597-0822
Enumeration DateAugust 25, 2025
NPPES CertifiedAugust 25, 2025
NPI 1073491429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedBehavior TechnicianTaxonomy 106S00000X
Also ListedOccupational Therapy AssistantTaxonomy 224Z00000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedPhysical Therapy AssistantTaxonomy 225200000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
4025 CLUB MANOR DR, Pueblo, CO 81008

Other Names 1

Doing Business AsWoven Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
4025 CLUB MANOR DR
PUEBLO, CO 81008
Behavior Technician
4025 CLUB MANOR DR
PUEBLO, CO 81008
Home Health
4025 CLUB MANOR DR, SUITE 102
PUEBLO, CO 81008
Behavior Technician
4025 CLUB MANOR DR
PUEBLO, CO 81008
Behavior Technician
4025 CLUB MANOR DR
PUEBLO, CO 81008
Behavior Technician
4025 CLUB MANOR DR
PUEBLO, CO 81008
Behavior Technician
4025 CLUB MANOR DR
PUEBLO, CO 81008
Behavior Technician
4025 CLUB MANOR DR
PUEBLO, CO 81008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Buck Jack, LLC's NPI number?

The NPI number for Buck Jack, LLC is 1073491429. It was assigned to this organization in the NPPES registry on August 25, 2025. The provider is doing business as Woven Care.

Where is Buck Jack, LLC located?

Buck Jack, LLC is located at 4025 Club Manor Dr, Pueblo, CO 81008. The listed phone number is (719) 597-0822.

What is Buck Jack, LLC's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

When was this NPI record last updated?

The NPPES record for Buck Jack, LLC was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.