Individual ProviderAmy Marie BurgessStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address5726 Southwyck Blvd Ste 200, Toledo, OH 43614-1510(419) 214-1766PECOS EnrollmentBased on the most recent information from CMS, provider Amy Marie Burgess does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1629570411Provider TypeIndividualFull NameBurgess, Amy MarieCredentialSWTGenderFemaleSole ProprietorNoEnumeration Date3/7/2018Last Updated2/25/2026Contact InformationPractice LocationPractice Address5726 Southwyck Blvd Ste 200, Toledo, OH 43614-1510Phone(419) 214-1766Fax(419) 214-1792Mailing LocationMailing Address5726 Southwyck Blvd Ste 200, Toledo, OH 43614-1510Phone(419) 214-1766Fax(419) 214-1792Provider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseS2604868Ohio