Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Hossam Idrissi Boucteb

Individual provider Physical Therapist · NPI 1164178372

Hossam Idrissi Boucteb is a Physical Therapist in Private Practice in Raleigh, North Carolina. Qualified in 2021, 5 years ago. Practices with University of North Carolina Hospitals at Chapel Hill, a 112-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2022
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Practice location Address checks out

4109 Wake Forest Rd Ste 200
Raleigh, NC 27609-6262
Phone: (919) 322-0042
Fax: (919) 322-0041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5476 Apex Peakway, Apex, NC 27502-3924 — (919) 626-9799

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P21044 (NC)

Record details

NPI number1164178372
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 25, 2022
Last updated in NPPESAugust 15, 2023
Certification dateAugust 15, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice University Of North Carolina Hospitals At Chapel Hill — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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