Mya Ann Phillips

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

7259-27 Issued in WI

Practice address

333 Pine Ridge Blvd
Wausau, WI 54401-4187

Phone

(800) 283-2881

NPI assigned

Aug 8, 2025

Sex

Female

Sole proprietor

No

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": "1754611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1104701176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 HIGHWAY 64",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540177601",
            "telephone_number": "515-422-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 PINE RIDGE BLVD",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014187",
            "telephone_number": "800-283-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MYA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-08",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "7259-27",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John J Petronovich, M.D.
• Anna Mary Pfannes, CCC-SLP
• Sabrina Pfannsmith, CSFA
• Toni L. Pflieger
• Denise L Philipps
• Physiotherapy Associates Inc
• Phyt Rehab of Wisconsin, Inc.
• Sarah Piel, APNP
• Pine Ridge Surgery Center, LLC
• Kristin Lynn Pinkert, COTA

• Occupational Therapy Assistant in Wausau, WI
• Providers in Wausau, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.