North Florida · Destin and Miramar Beach · Private pay
Private pelvic floor physical therapy in Destin and Miramar Beach, by video.
Destin, Miramar Beach, Sandestin and Niceville patients see Dr. Elana Shalem by video from home.
- Private pay, or Aetna and Medicare in-network
- No referral needed to start
- Usually seen within a week

Destin and Miramar Beach
Why Destin patients choose video.
Destin is fishing boats, beach condos and families who live here year-round. Leaking, postpartum recovery, back and shoulder pain from boat and charter work, and recovery after surgery are common reasons to book. Video visits mean no Highway 98 traffic.
One-on-one with Dr. Elana Shalem, PT, DPT (CAPP-OB), licensed in Florida: a 60-minute evaluation, then 45-minute follow-ups.
What we treat in Destin and Miramar Beach
Common reasons Destin patients book.
All services: Women's pelvic floor physical therapy · Men's pelvic floor physical therapy · Orthopedic physical therapy
Private pay
Private pay in Destin and Miramar Beach
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.
Insurance: In-network with Aetna and traditional Medicare in Florida, billed directly. Medicare Advantage plans vary; coverage is confirmed before the first visit.
Referrals: Florida allows you to start physical therapy without a referral. If care continues past 30 days for a condition no physician has seen you for, we help you get a quick practitioner review so treatment can continue.
Neighborhoods
Serving all of Destin and Miramar Beach
ZIP codes 32541, 32550, 32578. Any home with an internet connection works.
- Destin
- Destin Harbor
- Holiday Isle
- Miramar Beach
- Sandestin
- Niceville
- Bluewater Bay
Nearby: 30A and Santa Rosa Beach · Crestview, Milton and Pace · Marianna, Chipley and DeFuniak Springs · All of North Florida
Questions
Questions from Destin and Miramar Beach
Do you treat shoulder pain from fishing?
Yes. Shoulder, neck and back pain from fishing and charter work are treated with orthopedic physical therapy by video.
Do you take Aetna?
Yes, EMS Therapy is in-network with Aetna and traditional Medicare in Florida. Other plans are private pay with a superbill.
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.