Central and Eastern Montana · Big Timber and Harlowton · Private pay
Private pelvic floor physical therapy in Big Timber and Harlowton, by video.
On both sides of the Crazy Mountains, ranch households in Big Timber, McLeod, Harlowton and Two Dot see Dr. Elana Shalem by video.
- Private pay, superbill for PPO reimbursement
- No referral needed to start
- Usually seen within a week

Big Timber and Harlowton
Why Big Timber and Harlowton patients choose video.
Big Timber sits on the Yellowstone with the Crazy Mountains to the north and the Boulder River valley running south toward the East Boulder mine. An hour north on Highway 191, Harlowton is an old Milwaukee Road town on the Musselshell, with wheat, cattle and the turbines at Judith Gap spinning in a wind that rarely quits. Ranch work is hard on backs and hips, and specialists mean Billings or Bozeman. Low back pain, hip pain, leaking with heavy lifting and urinary urgency in men are common reasons people here book.
One-on-one with Dr. Elana Shalem, PT, DPT (CAPP-OB), licensed in Montana: a 60-minute evaluation, then 45-minute follow-ups.
What we treat in Big Timber and Harlowton
Common reasons Big Timber and Harlowton patients book.
All services: Women's pelvic floor physical therapy · Men's pelvic floor physical therapy · Orthopedic physical therapy
Private pay
Private pay in Big Timber and Harlowton
Rates are quoted on the free discovery call. A superbill after every visit supports out-of-network reimbursement from PPO plans; HSA and FSA cards are accepted. No authorizations, no plan visit limits, no waitlist.
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.
Neighborhoods
Serving all of Big Timber and Harlowton
ZIP codes 59011, 59036, 59052, 59055, 59033, 59085, 59453. Any home with an internet connection works.
- Big Timber
- McLeod
- Melville
- Greycliff
- Harlowton
- Two Dot
- Shawmut
- Judith Gap
Nearby: Billings · Red Lodge, Absarokee and Columbus · Roundup and the Musselshell Valley · Lewistown and Fergus County · All of Central and Eastern Montana
Questions
Questions from Big Timber and Harlowton
Can an older rancher in Big Timber get help for getting up at night to urinate?
Yes. Urinary urgency and frequency in men, including after prostate surgery, are treated one-on-one by video. Visits are private, nothing is recorded, and the plan fits around ranch work.
Can Harlowton patients get a superbill for out-of-network insurance?
Yes. Visits are private pay, and a superbill comes after every visit for out-of-network reimbursement. HSA and FSA cards are accepted, and rates are quoted on the free discovery call.
How soon can I be seen?
Usually within a week. Early morning, evening and weekend video visits are available.
Prefer to write? Send a message.
Questions about insurance, pricing, or whether physical therapy is the right next step? We reply within one business day.
Start with a free 15-minute call.
Tell us what is going on, hear how Dr. Shalem would approach it, and decide from there.