North Florida · Starke, Macclenny and Lake Butler · Private pay
Private pelvic floor physical therapy in Starke, Macclenny and Lake Butler, by video.
Patients in Starke, Macclenny, Lake Butler and Keystone Heights 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

Starke, Macclenny and Lake Butler
Why Starke, Macclenny and Lake Butler patients choose video.
Bradford, Baker and Union counties are small towns, pine forests and long commutes to Jacksonville or Gainesville. Young families, shift workers and retirees are seen one-on-one by video for postpartum recovery, back pain, leaking 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.
What we treat in Starke, Macclenny and Lake Butler
Common reasons Starke, Macclenny and Lake Butler patients book.
All services: Women's pelvic floor physical therapy · Men's pelvic floor physical therapy · Orthopedic physical therapy
Private pay
Private pay in Starke, Macclenny and Lake Butler
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 Starke, Macclenny and Lake Butler
ZIP codes 32054, 32063, 32091, 32656. Any home with an internet connection works.
- Starke
- Macclenny
- Lake Butler
- Keystone Heights
- Glen St. Mary
- Lawtey
- Hampton
Nearby: Gainesville · Palatka and Putnam County · Lake City and Live Oak · All of North Florida
Questions
Questions from Starke, Macclenny and Lake Butler
Can I book around shift work?
Yes. Early morning, evening and weekend video visits are available.
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.