Provider Demographics
NPI:1255891339
Name:PAGANO-WESTGATE, BARBARA RUTH (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:RUTH
Last Name:PAGANO-WESTGATE
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:MRS
Other - First Name:BARBARA
Other - Middle Name:PAGANO
Other - Last Name:WESTGATE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSPT
Mailing Address - Street 1:4321 SE 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-8354
Mailing Address - Country:US
Mailing Address - Phone:239-980-7687
Mailing Address - Fax:
Practice Address - Street 1:4321 SE 1ST AVE
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-8354
Practice Address - Country:US
Practice Address - Phone:239-980-7687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-23
Last Update Date:2019-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT20393225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty