South Florida · Marathon and the Lower Keys · Private pay
Private pelvic floor physical therapy in Marathon and the Lower Keys, by video.
Patients in Marathon, Duck Key, Big Pine and the Lower Keys 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

Marathon and the Lower Keys
Why Middle and Lower Keys patients choose video.
The Middle and Lower Keys are a long way from any city: about two hours to Miami from Marathon, more from Big Pine. Video visits take the Overseas Highway out of the equation. Fishing families, boat workers and retirees are seen one-on-one for pelvic floor and orthopedic care.
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 Marathon and the Lower Keys
Common reasons Middle and Lower 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 Marathon and the Lower Keys
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 Marathon and the Lower Keys
ZIP codes 33042, 33043, 33050. Any home with an internet connection works.
- Marathon
- Duck Key
- Grassy Key
- Big Pine Key
- Summerland Key
- Cudjoe Key
- Sugarloaf Key
Nearby: Key West · Key Largo and Islamorada · Homestead and the Redland · All of South Florida
Questions
Questions from Marathon and the Lower Keys
Is video physical therapy reliable in the Keys?
A steady connection for a video call is enough, and a phone on cellular data often works. If the connection drops, Dr. Shalem calls back to finish the visit.
Do you treat men?
Yes. Men are seen by video for leaking after prostate surgery, urgency and pelvic pain.
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.