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

Dr. Thomas Anthony Licata, DO

Individual provider Family Medicine Physician · NPI 1427638659

Dr. Thomas Anthony Licata, DO is a Family Practice in Wausau, Wisconsin. Graduated from Des Moines University of Osteopathic Medicine and Health Sciences in 2021, 5 years ago. Practices with Aspirus Wausau Hospital Inc, a 240-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
5
Trained at
Des Moines University of Osteopathic Medicine and Health Sciences
Licensed in
WI
In the registry since
2021
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

333 Pine Ridge Blvd
Wausau, WI 54401-4102
Phone: (715) 675-3391
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 81059-21 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1427638659
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 12, 2021
Last updated in NPPESJune 3, 2024
Certification dateJune 3, 2024
Mailing address333 Pine Ridge Blvd, Wausau, WI 54401-4102

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolDES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated 2021 (5 years in practice)
Group practice Aspirus Wausau Hospital Inc — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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