Florida
Pelvic floor physical therapy in Miami, at home or by video.
Aetna and Medicare accepted. Private pay welcome, with superbills for other plans. In-home visits across the Miami area, video visits anywhere in Florida.
- Aetna and Medicare accepted
- Superbills for other plans
- In-home across Miami-Dade

Insurance and payment
Aetna, Medicare, or private pay with a superbill
Bring your plan name to the discovery call and we confirm your pelvic floor PT benefits before the first visit.
Aetna and Medicare
In-network in Florida. We verify your coverage and tell you your copay or cost share before you book the evaluation.
Other insurance
You pay EMS Therapy directly and receive a superbill after each visit to submit for out-of-network reimbursement. HSA and FSA cards are accepted.
Private pay
No memberships, no packages, and the same rate in your home or on video. Rates are shared on the discovery call, along with an honest estimate of how many visits you are likely to need.

Where
In your home, or on your screen.
In-home visits, Miami area
Dr. Shalem comes to you across Miami-Dade, from Aventura and Miami Beach to Brickell, Coral Gables, and Doral.
Video visits, anywhere in Florida
Jacksonville to Key West. The same evaluation and the same plan, from a private room at home.
No referral to start
Florida lets you begin physical therapy without a physician referral. Book the discovery call and go from there.
What we treat
Common at every stage. Treatable at every stage.
Pelvic floor problems are common at every stage of a woman's life, and most respond well to physical therapy.
Pregnancy and after birth
- Pregnancy
- Postpartum recovery
- Diastasis recti
Bladder and bowel
- Urinary incontinence
- Pelvic organ prolapse
- Urgency and frequency
Pain and recovery
- Pelvic pain
- Painful intimacy
- Post-surgical recovery
How it works
How a visit works
Most of pelvic floor physical therapy is education, breathing and pressure management, and guided movement. That is why it translates so well to video.

Discovery call
15 minutes, free, by phoneA short call to hear what is going on, explain how visits work, and check insurance or pricing. No pressure to book.
Evaluation
60 minutes, in your home or by videoDr. Shalem takes a full history, watches how you move and breathe, and guides a self-assessment so she can see how the pelvic floor is working.
Your plan
Same visitYou leave the evaluation with a plain-language explanation and a short home program, usually a few minutes a day.
Follow-ups
45 minutes, every 1 to 2 weeksProgress 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 Florida
Do you take my insurance?
We are in-network with Aetna and Medicare in Florida. For other plans, you pay EMS Therapy directly and receive a superbill to submit for out-of-network reimbursement. Bring your plan name to the discovery call and we check your benefits.
How does reimbursement work with a superbill?
A superbill is an itemized receipt with the codes insurers need. You pay EMS Therapy directly, submit the superbill to your insurance company, and they reimburse you according to your out-of-network benefits.
Many PPO plans reimburse a portion after the deductible. Before the first visit, call your insurer and ask about out-of-network physical therapy benefits.
Do I need a referral in Florida?
No referral is needed to start. Florida allows physical therapy without a physician referral for the first 30 days of care. If your plan or continued care requires one, we help you get it from your physician.
Where do you offer in-home visits?
Across Miami-Dade County, including Aventura, Miami Beach, Brickell, Coral Gables, and Doral. Outside that area, video visits are available anywhere in Florida.
Can I use my HSA or FSA?
Yes. Physical therapy is a qualified medical expense, and HSA and FSA cards are accepted.
What does a visit cost?
With Aetna or Medicare, your plan's copay or cost share for physical therapy. We check your benefits before the first visit so there are no surprises.
For private pay, we share the rates on the discovery call. The rate is the same in your home or by video, and you receive a superbill after each visit.
Does pelvic floor physical therapy work over video?
Much of pelvic floor PT is education, breathing and pressure management, movement retraining, and a home program, and 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.
An internal examination is not possible by video. If a hands-on assessment would change the plan, she will say so and help you find local care.

Your physical therapist
Dr. Elana Shalem, DPT
Doctor of Physical Therapy, University of St. Augustine for Health Sciences, Miami
Dr. Shalem focuses on women's pelvic health: pregnancy and postpartum recovery, bladder and bowel symptoms, pelvic pain, and recovery after surgery. Visits are one-on-one and unhurried, and she explains what she is seeing in plain language.
More about Dr. ShalemPrefer to write? Send a message.
Questions about insurance, pricing, or whether pelvic floor PT 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.