Viktor Moon, LMBT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

22610 Issued in NC

Practice address

3508 The PLZ
Charlotte, NC 28205-1238

Phone

(828) 407-7708

NPI assigned

May 13, 2025

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1043001894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 REDWOOD AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282051346",
            "telephone_number": "980-666-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 THE PLZ",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282051238",
            "telephone_number": "828-407-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "VIKTOR",
        "credential": "LMBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "22610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasaundra Moody
• Marie Moody
• Megan Moody
• Patricia P Moody, NP
• Fox Moon, LMBT
• You Jong Alyssa Moon, FNP-C
• Wesley Jay Moone, L.P.A.
• Moonfire Wellness, Inc.
• Jajuana Demetrice Moonie
• Rachel E Moor, PA

• Massage Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Massage Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.