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

Tisha N. Dickey, DO

Individual provider Family Medicine Physician · NPI 1588984264

Tisha N. Dickey, DO is a Family Practice in Groton, Massachusetts. Graduated from Rowan University School of Osteopathic Medicine in 2010, 16 years ago. Practices with Revere Medical of Massachusetts PC, a 113-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
16
Trained at
Rowan University School of Osteopathic Medicine
Licensed in
MA
In the registry since
2010
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

1 Forge Village Rd
Groton, MA 01450-2047
Phone: (978) 449-0289
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 262493 (MA)

Record details

NPI number1588984264
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 4, 2010
Last updated in NPPESMarch 29, 2016
Mailing address1 Forge Village Rd, Groton, MA 01450-2047

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2010 (16 years in practice)
Group practice Revere Medical Of Massachusetts Pc — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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