North Florida · St. Augustine · Private pay
Private pelvic floor physical therapy in St. Augustine, by video.
St. Augustine patients, from Anastasia Island and Vilano Beach to World Golf Village and Palencia, 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

St. Augustine
Why St. Augustine patients choose video.
St. Johns County is one of the fastest-growing counties in Florida, with young families in new communities and retirees by the water. Pregnancy and postpartum care, leaking, urgency and back pain are common reasons to book. Video visits mean no drive up I-95 to Jacksonville.
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 St. Augustine
Common reasons St. Augustine patients book.
All services: Women's pelvic floor physical therapy · Men's pelvic floor physical therapy · Orthopedic physical therapy
Private pay
Private pay in St. Augustine
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 St. Augustine
ZIP codes 32080, 32084, 32086, 32092, 32095. Any home with an internet connection works.
- Historic Downtown
- Anastasia Island
- St. Augustine Beach
- Vilano Beach
- World Golf Village
- Palencia
- Crescent Beach
Nearby: Ponte Vedra Beach and Nocatee · Palatka and Putnam County · San Marco, Avondale and Ortega · All of North Florida
Questions
Questions from St. Augustine
Can I start during pregnancy?
Yes. Pelvic girdle pain, back pain, birth preparation and pelvic floor coordination are treated by video at any stage of pregnancy.
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.
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.