Colleen Marie Bench, DPT
Individual provider Active NPI Physical Therapist · Smithfield, RI
NPI 1275366338 · NPPES record last updated Apr 1, 2025
Key facts
- NPI
- 1275366338
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT03956 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in CT, LA, RI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT032448 | PA | MD | Physical Therapist |
| PT03956 | RI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Fern Practice, LLC | Physical Therapist | Current |
Accepting new patients |
| Silver Fern Practice, LLC | Physical Therapist | Current |
Accepting new patients |
| Brewer Physical Therapy & Associates LLC | Current |
Accepting new patients | |
| Litchfield Hills Orthopedic Associates, LLP | Physical Therapist | Current |
Accepting new patients |
| Litchfield Hills Orthopedic Associates, LLP | Physical Therapist | Current |
Accepting new patients |
| Select Physical Therapy Texas Limited Partnership | Past |
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 (318) 222-8892
4 Richmond Sq
Ste 200
Providence, RI 02906
41 Sanderson Rd
Ste 101
Smithfield, RI 02917
Phone (401) 349-4540
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AJCADD
- https://api.platform.athenahealth.com/17041/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11947R | LA | |
| Physical Therapist | 225100000X | PT032448 | PA | |
| Physical Therapist | 225100000X | PT03956 | RI | Yes |
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
Other providers in Smithfield, RI
- Caasi Baima
- Abbey E Barkley Davis
- Phillip Christian Barner
- Tayla Rae Bartone
- Miranda Lynn Bascetta
- Keith Berube
- Priscilla Hope Berube
- Matthew Block
- Aaron Bloomenthal
- Blake Boles-Reed
All providers in Smithfield, RI · Physical Therapist in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.