Active NPI
New Moon Therapy Services LLC
- Physical Therapist
- Charleston, SC
National Provider Identifier
1831847508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachel Lauren Novakovich, DPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PG0982 | Medicaid | SC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Mt Pleasant, SC
- NPI 1679090500
-
- Physical Therapy Assistant
- Mount Pleasant, SC
- NPI 1386417442
-
- Physical Therapist
- Mount Pleasant, SC
- NPI 1043086424
-
- Occupational Therapist
- Charleston, SC
- NPI 1922555606
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.