MEDICARE: AERO PERFORMANCE AND PHYSICAL THERAPY, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1831723626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AERO PERFORMANCE AND PHYSICAL THERAPY, PLLC

Provider Business Mailing Address
First Line	:	2761 OAKDALE BLVD STE 1&2
Second Line	:
City	:	CORALVILLE
State	:	IA
Zip	:	52241-9754
Country	:	US
Telephone Number	:	319-930-2868
Fax Number	:	319-626-2669

Provider Business Practice Location Address
First Line	:	2761 OAKDALE BLVD STE 1&2
Second Line	:
City	:	CORALVILLE
State	:	IA
Zip	:	52241-9754
Country	:	US
Telephone Number	:	319-930-2868
Fax Number	:	319-626-2669

Authorized Official
Title or Position	:	OWNER, FOUNDER
Name	:	TROY BOCKENSTEDT
Credential	:	DPT
Telephone Number	:	319-930-2868

Provider Enumeration Date	:	03/02/2020
Last Update Date	:	03/06/2026

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