MEDICARE: AUSTIN M LEAR DPT, CSCS

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	225100000X	Physical Therapist	30485	MD

General Provider Information

NPI Number	:	1407747199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUSTIN M LEAR DPT, CSCS

Provider Business Mailing Address
First Line	:	2610 SCRAVEL RD
Second Line	:
City	:	MYERSVILLE
State	:	MD
Zip	:	21773-9202
Country	:	US
Telephone Number	:	301-401-3038
Fax Number	:

Provider Business Practice Location Address
First Line	:	7311 GROVE RD
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21704-5146
Country	:	US
Telephone Number	:	240-608-6031
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2025
Last Update Date	:	07/11/2025

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