Individual ProviderAmy FaughtPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3132 Old Jacksonville Rd, Suite 140, Springfield, IL 62704-7400(217) 862-0400PECOS EnrollmentBased on the most recent information from CMS, provider Amy Faught 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 yesterday at 12:57 PM.Profile DetailsProvider ID1447448931Provider TypeIndividualFull NameFaught, AmyCredentialPTGenderFemaleSole ProprietorNoEnumeration Date10/9/2007Last Updated10/9/2007Contact InformationPractice LocationPractice Address3132 Old Jacksonville Rd, Suite 140, Springfield, IL 62704-7400Phone(217) 862-0400FaxUnlisted FaxMailing LocationMailing Address1824 N 8th St, Springfield, IL 62702-2709PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerIllinois