Provider Demographics
NPI:1316289879
Name:BURFEIND, SEAN MICHAEL (MS, ATC, OTC, OPA-C)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:MICHAEL
Last Name:BURFEIND
Suffix:
Gender:M
Credentials:MS, ATC, OTC, OPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21839 KELSEY SQ
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-6719
Mailing Address - Country:US
Mailing Address - Phone:716-604-2914
Mailing Address - Fax:
Practice Address - Street 1:8100 INNOVATION PARK DR STE 110
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4870
Practice Address - Country:US
Practice Address - Phone:703-970-6464
Practice Address - Fax:703-970-6465
Is Sole Proprietor?:No
Enumeration Date:2013-03-22
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225500000X, 246ZC0007X, 246ZX2200X
13-0840246ZS0410X
VA01260022392255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/Technologist
No246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant
No246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist
No246ZX2200XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherOrthopedic Assistant