North Florida · Perry, Madison and the Big Bend · Private pay

Private pelvic floor physical therapy in Perry, Madison and the Big Bend, by video.

Big Bend patients in Perry, Madison, Monticello and Steinhatchee 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
A pregnant woman walking along a tree-lined path

Perry, Madison and the Big Bend

Why Big Bend patients choose video.

The Big Bend is timber, scalloping and some of the least crowded coastline in Florida, about an hour from Tallahassee. Since the 2023 and 2024 hurricanes, many coastal families are still rebuilding, and video visits bring care to wherever home is right now, for back pain, leaking, postpartum recovery and recovery after surgery.

One-on-one with Dr. Elana Shalem, PT, DPT (CAPP-OB), licensed in Florida: a 60-minute evaluation, then 45-minute follow-ups.

Private pay

Private pay in Perry, Madison and the Big Bend

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 Perry, Madison and the Big Bend

ZIP codes 32340, 32344, 32347, 32348, 32359. Any home with an internet connection works.

  • Perry
  • Madison
  • Monticello
  • Steinhatchee
  • Keaton Beach
  • Greenville
  • Lee

Nearby: Tallahassee · Lake City and Live Oak · Apalachicola and the Forgotten Coast · All of North Florida

Questions

Questions from Perry, Madison and the Big Bend

Can I start care in temporary housing?

Yes. Visits are by video, so care starts and continues wherever home is right now, anywhere in Florida.

Do I need a referral?

No. Florida allows physical therapy to start without a referral.

How soon can I be seen?

Usually within a week. Early morning, evening and weekend video visits are available.

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Questions about insurance, pricing, or whether physical therapy is the right next step? We reply within one business day.

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