Individual provider Active NPI

Gary Francis Minnella, LAT, CSCS

  • Athletic Trainer
  • Tucson, AZ
National Provider Identifier
1407820079
Registry record updated May 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
ATR-001096 Issued in AZ
Practice address
9008 E Pine Valley Dr
Tucson, AZ 85710-7954
Phone
(810) 841-7533
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X ATR-001096 AZ Primary

Addresses

Primary practice location

9008 E Pine Valley Dr
Tucson, AZ 85710-7954

Mailing address

9008 E Pine Valley Dr
Tucson, AZ 85710-7954
Phone (810) 841-7533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ATR-001096AZMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777680000000",
    "number": "1407820079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9008 E PINE VALLEY DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857107954",
            "telephone_number": "810-841-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9008 E PINE VALLEY DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857107954",
            "telephone_number": "810-841-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINNELLA",
        "first_name": "GARY",
        "middle_name": "FRANCIS",
        "name_prefix": "Mr.",
        "credential": "LAT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2026-05-02",
        "certification_date": "2026-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "ATR-001096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.