# NEW MOON THERAPY SERVICES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831847508
- **Authorized official:** RACHEL LAUREN NOVAKOVICH DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (412) 780-4035

## Contact information

- **Practice address:** 1367 TARA RD, CHARLESTON, SC 29407-5131
- **Practice address phone:** (412) 780-4035
- **Practice address fax:** (866) 394-5788
- **Mailing address:** 1367 TARA RD, CHARLESTON, SC 29407-5131
- **Mailing address phone:** (412) 780-4035
- **Mailing address fax:** (866) 394-5788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 03/12/2022
- **Last updated:** 10/07/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | PG0982 | — | SC |
| 05 | — | PG3639 | — | SC |