Abby Depue

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7169-154 Issued in WI

Practice address

11900 N Port Washington Rd
Mequon, WI 53092-3400

Phone

(262) 988-8800

NPI assigned

Sep 5, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sundance Rehabilitation LLCGroup PAC ID 7911815329, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Sundance Rehabilitation LLC

  • Rehabilitation Clinic/Center
  • Deforest, WI
  • NPI 1073912119
  Medicare reassignment Care Compare group NPD
• Sundance Rehabilitation LLC

  • Rehabilitation Clinic/Center
  • Sewell, NJ
  • NPI 1750336053
  NPD (past)

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1720968043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W247N5945 GROUSE CT",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530895020",
            "telephone_number": "262-720-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 N PORT WASHINGTON RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923400",
            "telephone_number": "262-988-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPUE",
        "first_name": "ABBY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "7169-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell Donald De Lap, ATC
• Alyssa Deardorff, DPT
• Caroline Pamela Degroot, APSW
• Amy Degueme, M.D.
• Dentaquest, LLC
• Shobha Desai, M.D.
• David Dettinger, P.T.
• Tina Kaur Dhaliwal, PSY.D
• David H Diamond, M.P.T.
• Kenneth Arthur Diamond, PH.D.

• Speech-Language Pathologist in Mequon, WI
• Providers in Mequon, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.