South Florida · Key Largo and Islamorada · Private pay
Private pelvic floor physical therapy in Key Largo and Islamorada, by video.
Upper Keys patients, from Ocean Reef and Key Largo to Tavernier and Islamorada, 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

Key Largo and Islamorada
Why Upper Keys patients choose video.
In the Upper Keys, a specialist appointment means the Stretch and an hour or more each way to the mainland. Video visits bring care to the house or the boat. Divers, anglers, retirees and Ocean Reef members are seen one-on-one for back and shoulder pain, leaking, prolapse 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 Key Largo and Islamorada
Common reasons Upper Keys patients book.
All services: Women's pelvic floor physical therapy · Men's pelvic floor physical therapy · Orthopedic physical therapy
Private pay
Private pay in Key Largo and Islamorada
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 Key Largo and Islamorada
ZIP codes 33036, 33037, 33070. Any home with an internet connection works.
- Key Largo
- Ocean Reef
- Tavernier
- Plantation Key
- Islamorada
- Upper Matecumbe Key
Nearby: Marathon and the Lower Keys · Key West · Homestead and the Redland · All of South Florida
Questions
Questions from Key Largo and Islamorada
Do you do in-home visits in the Keys?
In-home visits are available in Miami-Dade County only. The Keys are seen by secure video, usually within a week.
Do you treat shoulder pain from fishing and diving?
Yes. Shoulder, neck and back pain from fishing, diving and boat work are treated with orthopedic physical therapy by video.
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.