Devon Buck, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA.0001076 Issued in CO

Practice address

97 Landoe LN
Colorado Springs, CO 80911-2059

Phone

(719) 649-7768

NPI assigned

Oct 3, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Devon Morgan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1952073462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 LANDOE LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809112059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 LANDOE LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809112059",
            "telephone_number": "719-649-7768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8164 Fortune Hunter Dr",
            "address_purpose": "LOCATION",
            "city": "Brooksville",
            "state": "FL",
            "postal_code": "34613",
            "country_code": "US",
            "telephone_number": "719-649-7768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCK",
        "first_name": "DEVON",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-03",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CO",
            "license": "OTA.0001076",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA18432",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEVON",
            "last_name": "MORGAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Buck Jack, LLC
• Buck Jack, LLC
• Buck Jack, LLC
• Buck Jack, LLC
• Buck Jack, LLC
• Kelsea Buck
• Dina Buckey, LCSW
• Jill Buckingham, RMT
• Michael Clay Buckler, P.T.
• Jenna Buckles

• Occupational Therapy Assistant in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Occupational Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.