Individual provider Active NPI

Colleen Marie Bench, DPT

  • Physical Therapist
  • Smithfield, RI
National Provider Identifier
1275366338
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT03956 Issued in RI
Practice address
41 Sanderson Rd Ste 101
Smithfield, RI 02917-2611
Phone
(401) 349-4540
Fax
(401) 349-4510
NPI assigned
Aug 23, 2024
Last updated
Apr 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11947R LA
Physical Therapist 225100000X PT032448 PA
Physical Therapist 225100000X PT03956 RI Primary

Addresses

Primary practice location

41 Sanderson Rd Ste 101
Smithfield, RI 02917-2611

Mailing address

4 Richmond SQ Ste 200
Providence, RI 02906-5117
Phone (401) 433-4172

Other practice location 1

663 Jordan St
Shreveport, LA 71101-4748
Phone (318) 222-8892 ext. 1

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, LA, RI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240923003725 CT Practitioner - Physical Therapist in Private Practice 7517408107
I20250106001301 LA Practitioner - Physical Therapist in Private Practice 7517408107 Reassigns benefits to 1 organization
I20250408001161 RI Practitioner - Physical Therapist in Private Practice 7517408107 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11947RLAMDPhysical Therapist
PT032448PAMDPhysical Therapist
PT03956RIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Fern Practice, LLC Physical Therapist CurrentSince Mar 17, 2025 Accepting new patients
Brewer Physical Therapy & Associates LLC CurrentSince Dec 9, 2024 Accepting new patients
Litchfield Hills Orthopedic Associates, LLP Physical Therapist CurrentSince Aug 26, 2024 Accepting new patients
Litchfield Hills Orthopedic Associates, LLP Physical Therapist CurrentSince Aug 26, 2024 Accepting new patients
Silver Fern Practice, LLC Physical Therapist CurrentSince Mar 17, 2025 Accepting new patients
Select Physical Therapy Texas Limited Partnership PastSince Dec 1, 2024 Accepting new patients

Locations

245 Alvord Park Rd
Torrington, CT 06790
Phone (860) 482-8539

4970 Barksdale Blvd
Ste 900
Bossier City, LA 71112
Phone (318) 747-8892

663 Jordan St
Shreveport, LA 71101
Phone 3182228892 ext. 1

4 Richmond Sq
Ste 200
Providence, RI 02906

41 Sanderson Rd
Ste 101
Smithfield, RI 02917
Phone (401) 349-4540

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17041/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/AJCADD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1275366338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RICHMOND SQ STE 200",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065117",
            "telephone_number": "401-433-4172",
            "fax_number": "401-433-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 SANDERSON RD STE 101",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029172611",
            "telephone_number": "401-349-4540",
            "fax_number": "401-349-4510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "663 Jordan St",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711014748",
            "country_code": "US",
            "telephone_number": "318-222-8892 x1",
            "fax_number": "318-222-8893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENCH",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-23",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "11947R",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT032448",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT03956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.