Jerry's Famous Footwear – Prosthetic/Orthotic Supplier, NPI 1063501674

Jerry's Famous Footwear is a healthcare provider. based in Mobile, Alabama. specializing in Prosthetic/Orthotic Supplier. The NPI Number for Jerry's Famous Footwear is 1063501674

Main info

Organization
Name
Jerry's Famous Footwear
NPI
1063501674
Phone
(251) 343-7127
Address
4663 AIRPORT BLVD
Authorized Official
MARGARET ANNE ALEXANDER VP - SECRETARY
Enumeration Date
12 October 2006
Last Update Date
19 August 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Jerry's Famous Footwear

  • La Cocina, 4663, Airport Boulevard, Regency Square, Mobile County Commission District 2, Mobile, Mobile County, Alabama, 36608, United States

    MOBILE, AL 366083125

    Phone: (251) 343-7127

    Fax: (251) 343-2776

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36608)

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Reviews

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Frequently asked questions

What is Jerry's Famous Footwear's NPI number?
Jerry's Famous Footwear's NPI is 1063501674 — the number used across U.S. healthcare to identify this provider.
Would Jerry's Famous Footwear appear as active to a payer?
You can treat Jerry's Famous Footwear as active for directory purposes; confirm clinical privileges separately.
How would a patient describe Jerry's Famous Footwear's focus?
For Jerry's Famous Footwear, the primary taxonomy reads as Prosthetic/Orthotic Supplier. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Jerry's Famous Footwear?
Travel planning: use Mobile, Alabama as the reference point for Jerry's Famous Footwear, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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