Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nysa Forman

Individual provider Athletic Trainer · NPI 1629524608

Nysa Forman is an Athletic Trainer in Savannah, Georgia. Licensed in Hawaii. Registered with an NPI since 2016.

Licensed in
HI
In the registry since
2016
Specialties on file
2

Practice location Address checks out

516 Drayton St
Savannah, GA 31401-5651
Phone: (808) 499-9586
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 269 (HI)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1629524608
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 30, 2016
Last updated in NPPESFebruary 23, 2023
Certification dateFebruary 23, 2023
Mailing address516 Drayton St, Savannah, GA 31401-5651

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