Active NPI
Sheryl Egan-Olaivar, OT
- Occupational Therapist
- Gulfport, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT0806
- Practice address
- 15476 Dedeaux Rd Ste a
Gulfport, MS 39503-2637 - Phone
- (228) 215-0700
- NPI assigned
- Sep 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT0806 | MS | Primary |
Addresses
Primary practice location
15476 Dedeaux Rd Ste a
Gulfport, MS 39503-2637
Mailing address
6300 E Lake Blvd Ste 301
Vancleave, MS 39565-6771
Phone (228) 230-2663
Other practice location 1
1105 39th Ave
Gulfport, MS 39501-2654
Phone (285) 754-6542
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09015385 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15476 Dedeaux Rd
Suite a
Gulfport, MS 39503-2637
Phone (228) 215-0700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bienville Therapy, LLC | Occupational Therapist | Current | Accepting new patients |
| Bienville Therapy, LLC | Occupational Therapist | Current | Accepting new patients |
| Encore Rehabilitation, Inc. | Occupational Therapist | Current | Accepting new patients |
| Encore Rehabilitation, Inc. | Occupational Therapist | Current | Accepting new patients |
Locations
251 Johnston St SE
Ste 300
Decatur, AL 35601
Phone (256) 340-9708
42465 Highway 195
Haleyville, AL 35565
Phone (205) 486-2753
1720A Medical Park Dr
Ste 210
Biloxi, MS 39532
Phone (228) 546-3266
15476 Dedeaux Rd
#A
Gulfport, MS 39503
Phone (228) 215-0700
1105 39th Ave
Gulfport, MS 39501
Phone (228) 575-4654
433 Main St
Leakesville, MS 39451
Phone (601) 394-4545
6300 E Lake Blvd
Ste 301
Vancleave, MS 39565
6300 E Lake Blvd
Ste 101
Vancleave, MS 39565
Phone (228) 215-2240
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Decatur, AL
- NPI 1033218524
MS, Occupational Therapist
-
- Occupational Medicine Clinic/Center
- Gulfport, MS
- NPI 1437962313
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761091200000",
"number": "1962697458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 E LAKE BLVD STE 301",
"city": "VANCLEAVE",
"state": "MS",
"postal_code": "395656771",
"telephone_number": "228-230-2663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15476 DEDEAUX RD STE A",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395032637",
"telephone_number": "228-215-0700"
}
],
"practiceLocations": [
{
"address_1": "1105 39th Ave",
"address_purpose": "LOCATION",
"city": "Gulfport",
"state": "MS",
"postal_code": "395012654",
"country_code": "US",
"telephone_number": "285-754-6542",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EGAN-OLAIVAR",
"first_name": "SHERYL",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-08",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MS",
"license": "OT0806",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09015385",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.