Jamaica Ince-Galloway

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

53906 Issued in CA

Practice address

1400 N Dutton Ave Ste 1
Santa Rosa, CA 95401-7120

Phone

(707) 523-2848

NPI assigned

Feb 14, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1699570507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S WASHINGTON ST",
            "city": "CLOVERDALE",
            "state": "CA",
            "postal_code": "954253621",
            "telephone_number": "707-387-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N DUTTON AVE STE 1",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954017120",
            "telephone_number": "707-523-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INCE-GALLOWAY",
        "first_name": "JAMAICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "53906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Herbert Immel
• Sabahat Latif Imran, MPHARM.
• In Home Health LLC
• In Home Health, LLC
• Inadvance Medicine Associates, P.C.
• Christopher Inclan
• Individual'S Now, Inc
• Individuals Now, Inc
• Cynthia R. Ingels, MSN,N.P.
• Jennifer Lucas Ingels

• Physical Therapy Assistant in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.