Central and Eastern Montana · Billings · Private pay
Private pelvic floor physical therapy in Billings, by video.
Billings is a big city to cross at five o'clock, so patients from the Heights, the West End, Laurel and Lockwood see Dr. Elana Shalem by video instead.
- Private pay, superbill for PPO reimbursement
- No referral needed to start
- Usually seen within a week

Billings
Why Billings patients choose video.
Billings is Montana's biggest city and the place much of the eastern half of the state comes for shopping, specialists and flights. Refineries, rail yards, hospitals and energy offices keep it working, the Rims frame the skyline, and growth on the West End toward Shiloh Road means young families and long cross-town drives. Shift work is common, and so is a calendar split between kids and two jobs. Postpartum recovery, bladder leaking, overactive bladder and low back pain are common reasons people across Billings 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 Billings
Common reasons Billings patients book.
All services: Women's pelvic floor physical therapy · Men's pelvic floor physical therapy · Orthopedic physical therapy
Private pay
Private pay in Billings
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 Billings
ZIP codes 59101, 59102, 59105, 59106, 59044, 59079, 59037. Any home with an internet connection works.
- Downtown Billings
- The Heights
- West End
- South Side
- Lockwood
- Briarwood
- Laurel
- Shepherd
- Huntley
Nearby: Red Lodge, Absarokee and Columbus · Roundup and the Musselshell Valley · Big Timber and Harlowton · Miles City, Forsyth and Colstrip · All of Central and Eastern Montana
Questions
Questions from Billings
Is overactive bladder treated by video, or does it need an office in Billings?
It is treated by video. Urgency, frequency and overactive bladder are worked on with bladder training, pelvic floor exercise and daily habits. If a hands-on assessment would change the plan, Dr. Shalem says so and helps coordinate local care.
Is it discreet for Billings health care workers who would rather not be treated where they work?
Yes. Visits are one-on-one on a HIPAA-compliant platform, nothing is recorded, and there is no waiting room or front desk to walk past. Early morning, evening and weekend times fit around hospital shifts.
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.