Update on this phal leaf situation if anyone else comes across a similar issue. I've kept it on a heat mat for a couple weeks now and made sure to water only the roots, but the leaf spots have only gotten worse.
The strangest is thing is how the yellow spots and pitting only appear where the sun hits the leaf. Even the most affected leaf is clear from these symptoms where another leaf covers it from the sun. The oldest leaf on the plant is totally unaffected and also completely covered from the sun by another leaf (you can't see it in any of the attached photos but it's underneath the most damaged leaf).
I found this blog post and thought maybe it could be the same issue:
My World of Orchids: Tawain Orchid Virus or Microfungus??
However I've yet to see another plant that has the raised white spots among the yellow and pitting. I've separated it from my other plants for now. I wonder if I should remove the heavily affected leaf or just keep monitoring the situation (totally helpless????). It's putting out flowers, maybe I should remove them?