Central and Eastern Montana

Pelvic floor and orthopedic physical therapy in Central and Eastern Montana, by video.

Private pay with superbills for out-of-network reimbursement. Women's and men's pelvic health and orthopedic physical therapy, one-on-one with a Doctor of Physical Therapy, from home anywhere in Central and Eastern Montana.

  • No referral needed (unrestricted direct access)
  • Usually seen within a week
  • Video visits anywhere in Central and Eastern Montana
A woman at her kitchen table on a video visit with her physical therapist

What we treat in Central and Eastern Montana

Three specialties. One physical therapist.

Billings has a pelvic health physical therapist or two; the Hi-Line and the eastern plains have none for hundreds of miles. A video visit means someone in Havre, Glendive, Sidney, or Miles City sees a specialist this week, from home, including families at Malmstrom Air Force Base.

Coverage in Montana

Insurance and pricing

Bring your plan name to the discovery call and we confirm your physical therapy benefit before the first visit. No surprises.

Private pay

Visits in Montana are private pay. We provide a superbill you can submit to your insurer for out-of-network reimbursement. HSA and FSA cards accepted. Rates are quoted on the free discovery call.

Referrals

Montana allows you to see a physical therapist for evaluation and treatment without a physician referral, with no visit limit. Some insurance plans still ask for one, and we check that for you.

Billings, Great Falls, the Hi-Line, and the eastern plains are seen by video, including military families at Malmstrom AFB.

Where

Anywhere in Central and Eastern Montana

A video visit works the same in Billings, Great Falls, Havre, Lewistown, Miles City, Glendive, Sidney, Glasgow, Wolf Point, Hardin, and Red Lodge as it does anywhere else in Central and Eastern Montana. No clinic, no drive, no waiting room.

Pages for each area

How it works

How a virtual visit works

Most of pelvic floor physical therapy is education, breathing and pressure management, movement retraining, and a home program. All of it works on camera. During the evaluation, Dr. Shalem guides a self-assessment so she can see how the pelvic floor is coordinating with breath and movement. An internal examination is not possible by video; if a hands-on assessment would change the plan, she says so and helps the patient find local care.

A woman at her kitchen table on a video visit with her physical therapist
  1. Discovery call

    15 minutes, free, by phone

    A short call to hear what is going on, explain how visits work, and check insurance or pricing. No pressure to book.

  2. Evaluation

    60 minutes, by video

    Dr. Shalem takes a full history, watches how you move and breathe, and guides the self-assessments she needs to build a plan.

  3. Your plan

    Same visit

    You leave the evaluation with a plain-language explanation and a short home program, usually a few minutes a day.

  4. Follow-ups

    45 minutes, every 1 to 2 weeks

    Progress checks, program updates, and techniques you can do yourself, for as long as they are useful.

For a video visit you will need

  • A phone, tablet, or laptop with a camera
  • A private room
  • A mat or towel
  • About an hour

Questions

Common questions in Central and Eastern Montana

Do I need a referral for physical therapy in Montana?

Montana allows you to see a physical therapist for evaluation and treatment without a physician referral, with no visit limit. Some insurance plans still ask for one, and we check that for you.

What insurance do you take in Montana?

Private pay: Visits in Montana are private pay. We provide a superbill you can submit to your insurer for out-of-network reimbursement. HSA and FSA cards accepted. Rates are quoted on the free discovery call.

Do you see men as well as women?

Yes. Dr. Shalem treats women's pelvic health, men's pelvic health (leaking after prostate surgery, chronic pelvic pain, urgency, and pelvic-floor-related erectile dysfunction), and orthopedic conditions for everyone.

Do I have to live near a city to be seen?

No. Video visits work anywhere in Central and Eastern Montana with an internet connection. Patients in rural areas are a large share of the practice.

What does a visit cost?

With in-network insurance, your plan's physical therapy copay or cost share; we verify it before the first visit. Private-pay rates are quoted on the free discovery call, and a superbill is provided for out-of-network reimbursement.

How soon can I be seen?

Usually within a week. Evening and weekend appointments are available.

Dr. Elana Shalem, DPT

Your physical therapist

Dr. Elana Shalem, DPT

Doctor of Physical Therapy, University of St. Augustine for Health Sciences, Miami. Licensed in Montana.

Dr. Shalem treats pelvic health for women and men, from pregnancy and postpartum recovery to bladder, bowel, and pelvic pain conditions and recovery after prostate or pelvic surgery, and general orthopedic conditions of the back, neck, hips, knees, shoulders, and feet. Visits are one-on-one and unhurried, and she explains what she is seeing in plain language.

More about Dr. Shalem

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