Occupational Therapist
BUCK JACK LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1467050658 · enumerated 2020-10-12 · record updated 2020-10-12. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: REBECCA NEWMAN, BILLING MANAGER · (719) 597-0822
Other names: THE SHANDY CLINIC
Addresses and phones
- Mailing address 685 CITADEL DR E STE 580, COLORADO SPRINGS, CO, 80909-5381 (719) 597-0822 Fax (719) 599-4606 Google Maps Apple Maps OpenStreetMap
- Practice location 901 N SANTA FE AVE, FOUNTAIN, CO, 80817-1738 (719) 597-0822 Fax (719) 599-4606 Google Maps Apple Maps OpenStreetMap
Specialties
- Behavior Analyst 103K00000X
- Psychologist 103T00000X
- Physical Therapist 225100000X
- Speech-Language Pathologist, 235Z00000X
- Occupational Therapist 225X00000X · Primary
In this directory
Locations and evidence
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Practice location
FOUNTAIN, CO, 808171738
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.