1. Home
  2. Directory
  3. Florida
  4. Fort Myers
  5. Physician Assistant
  6. NPI Profile

KRYSTA JEAN DEFTY PA-C
NPI 1295089316
Physician Assistant in Fort Myers, FL

Active since October 29, 2012
13770 PLANTATION RD, SUITE 2, FORT MYERS, FL 33912(239) 275-0728(239) 275-6947 Get Directions Write a Review

NPPES record last updated: December 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Krysta Jean Defty Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRYSTA JEAN DEFTY PA-C (NPI 1295089316) is an individual physician assistant in Fort Myers, Florida, licensed in Florida (PA9106963) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1295089316
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKRYSTA JEAN DEFTYCredential: PA-C
Location Address13770 PLANTATION RD, SUITE 2Fort Myers, FL 33912-4460
Mailing Address2234 Colonial BlvdFort Myers, FL 33907-1412 · (239) 931-7342 · Fax (239) 931-7385
Phone(239) 275-0728
Fax(239) 275-6947
Sole ProprietorNo
Enumeration DateOctober 29, 2012
Last NPPES UpdateDecember 14, 2016
✔ NPI 1295089316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9106963
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
13770 PLANTATION RD, Fort Myers, FL 33912
Open in Google Maps ↗

Other Names 1

Former Name (1)Krysta Jean Tholen Pa-c

Other Identifiers 10

Other398581FL · Avmed
Medicare PINGS255XFL
OtherP951597FL · Optimum
OtherY0F3CFL · Bcbs Fl Individual Provider Id #
Other1249031FL · Wellcare
OtherP01480233FL · Rr Medicare
Other1720187FL · Cigna
Other5296786FL · Aetna
OtherP1004057FL · Freedom
Medicaid007345500FL

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VIJAY GANATRA, M.D., P.A.
Internal Medicine
13770 PLANTATION RD, UNIT 4
FORT MYERS, FL 33912
Lee County (239) 561-6263
JAYSHREE V GANATRA M.D.
Pediatrics (Pediatric Gastroenterology)
13770 PLANTATION RD, UNIT 4
FORT MYERS, FL 33912
Lee County (239) 561-6365
DR. NAGESH B RAVIPATI M.D.
Colon & Rectal Surgery
13770 PLANTATION RD, SUITE 2
FORT MYERS, FL 33912
Lee County (239) 275-0728
PEDIATRIC GASTROENTEROLOGY OF FLORIDA , PA
Pediatrics (Pediatric Gastroenterology)
13770 PLANTATION RD, UNIT 4
FORT MYERS, FL 33912
Lee County (239) 561-6365
DR. JEFFREY ALLAN NEALE MD
Colon & Rectal Surgery
13770 PLANTATION RD, SUITE 2
FORT MYERS, FL 33912
Lee County (239) 275-0728
VIJAY GANATRA M.D.
Internal Medicine
13770 PLANTATION RD, UNIT 4
FORT MYERS, FL 33912
Lee County (239) 561-6263
JANETTE U. GAW MD
Colon & Rectal Surgery
13770 PLANTATION RD, SUITE 2
FORT MYERS, FL 33912
Lee County (239) 275-0728
VALERIE R. DYKE MD
Colon & Rectal Surgery
13770 PLANTATION RD, SUITE 2
FORT MYERS, FL 33912
Lee County (239) 275-0728

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Krysta Defty's NPI number?

The NPI number for Krysta Defty is 1295089316. It was assigned to this individual provider in the NPPES registry on October 29, 2012. The provider is also known as Krysta Jean Tholen Pa-C.

Where is Krysta Defty located?

Krysta Defty practices at 13770 Plantation Rd Suite 2, Fort Myers, FL 33912. The listed phone number is (239) 275-0728.

What is Krysta Defty's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Krysta Defty was last updated on December 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.