Central and Eastern Montana · Lewistown and Fergus County · Private pay
Private pelvic floor physical therapy in Lewistown and Fergus County, by video.
In the middle of Montana, Lewistown families and ranchers out toward Moore, Denton, Winifred and Grass Range see Dr. Elana Shalem by video.
- Private pay, superbill for PPO reimbursement
- No referral needed to start
- Usually seen within a week

Lewistown and Fergus County
Why Fergus County patients choose video.
Lewistown sits close to the geographic center of Montana, ringed by the Big Snowy, Judith and Moccasin mountains, with Big Spring Creek running through town and wheat, barley and cattle country stretching north to the Missouri Breaks. It is the shopping and services town for a huge, lightly settled area, and Billings and Great Falls are each about two hours away. Ranch work, long winters and long drives shape daily life. Prolapse, bladder leaking, low back pain and knee pain are frequent reasons Fergus County patients 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 Lewistown and Fergus County
Common reasons Fergus County patients book.
All services: Women's pelvic floor physical therapy · Men's pelvic floor physical therapy · Orthopedic physical therapy
Private pay
Private pay in Lewistown and Fergus County
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 Lewistown and Fergus County
ZIP codes 59457, 59464, 59451, 59430, 59489, 59471, 59032. Any home with an internet connection works.
- Lewistown
- Moore
- Hilger
- Denton
- Winifred
- Roy
- Grass Range
Nearby: Great Falls · Roundup and the Musselshell Valley · Fort Benton and Chouteau County · Big Timber and Harlowton · All of Central and Eastern Montana
Questions
Questions from Lewistown and Fergus County
Can a full evaluation really be done by video from Lewistown?
Yes. The 60-minute evaluation covers history, movement, breathing and exercise testing on camera. An internal exam is not possible by video; if a hands-on assessment would change the plan, Dr. Shalem says so and helps coordinate local care.
Do Fergus County winter roads ever cancel a visit?
No. Visits happen by video from home, so a blizzard on Highway 87 or a slick road into town does not affect them. If the home internet is down, cellular data often works.
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.