Raymond John Fabian Jr., PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A745 Issued in MN

Practice address

1 Thompson Ave W
West St Paul, MN 55118-3100

Phone

(651) 259-2701

NPI assigned

Feb 2, 2026

Last updated

Feb 2, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1769990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1922958610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10230 REDWOOD ST NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554335153",
            "telephone_number": "763-227-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 THOMPSON AVE W",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551183100",
            "telephone_number": "651-259-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABIAN",
        "first_name": "RAYMOND",
        "middle_name": "JOHN",
        "name_suffix": "Jr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-02-02",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ross Ducept, REGISTERED PHARMACIS
• Elmi Abdulkadir Elmi
• Hidayo Elmi, DDS
• Adam Reed Elwood, MS, LPCC, LMHC
• Evernear Care Corp. (FirstLight HomeCare of St. Paul)
• Family Healthservices Minnesota, P.a. (FHSM - Gorman Clinic)
• Family Healthservices Minnesota, P.a. (Entira Family Clinics-West St. Paul)
• Vivian Fischer, MD
• Laura L Flockencier, O.D.
• Fourone2020 PLLC (DBA Greg B Markeson OD)

• Physical Therapy Assistant in West St Paul, MN
• Providers in West St Paul, MN by specialty
• Physical Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.