Individual provider Active NPI

Ryan Sousley, DC

  • Chiropractor
  • Coeur D Alene, ID
National Provider Identifier
1144507575
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA1447 Issued in ID
Practice address
2634 N Government Way
Coeur D Alene, ID 83815-3750
Phone
(208) 771-4474
NPI assigned
Nov 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA1447 ID Primary

Addresses

Primary practice location

2634 N Government Way
Coeur D Alene, ID 83815-3750

Mailing address

3693 S Puma Dr
Coeur D Alene, ID 83814-9011
Phone (208) 771-4474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130912000773 ID Practitioner - Chiropractic 8921268582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Family ChiropracticGroup PAC ID 3870753437, 5 clinicians

Practice addresses (Care Compare)

2634 N Government Way
Coeur D Alene, ID 83815-3750
Phone (208) 664-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIA1447IDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Family Chiropractic Chiropractor CurrentSince Aug 29, 2011 Accepting new patients

Locations

2634 N Government Way
Coeur D Alene, ID 83815
Phone (208) 664-1000

1590 E Seltice Way
Post Falls, ID 83854
Phone (208) 981-3500

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1144507575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3693 S PUMA DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838149011",
            "telephone_number": "208-771-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2634 N GOVERNMENT WAY",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838153750",
            "telephone_number": "208-771-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUSLEY",
        "first_name": "RYAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-14",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA1447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.