Organization Active NPI

New Moon Therapy Services LLC

  • Physical Therapist
  • Charleston, SC
National Provider Identifier
1831847508
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NEW MOON THERAPY SERVICES LLC
Practice address
1367 Tara Rd
Charleston, SC 29407-5131
Phone
(412) 780-4035
Fax
(866) 394-5788
NPI assigned
Mar 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Authorized official

Name
Rachel Lauren Novakovich, DPTNPI 1679090500
Title
Physical Therapist
Phone
(412) 780-4035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

1367 Tara Rd
Charleston, SC 29407-5131

Mailing address

1367 Tara Rd
Charleston, SC 29407-5131
Phone (412) 780-4035

Other identifiers 1

IdentifierTypeStateIssuer
PG0982MedicaidSC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1831847508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1367 TARA RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075131",
            "telephone_number": "412-780-4035",
            "fax_number": "866-394-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 TARA RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075131",
            "telephone_number": "412-780-4035",
            "fax_number": "866-394-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MOON THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-12",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "NOVAKOVICH",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "LAUREN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "412-780-4035",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PG0982",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; 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.