Southern California · Ramona, Julian and Borrego Springs · Private pay
Private pelvic floor physical therapy in Ramona, Julian and Borrego Springs, by video.
San Diego backcountry patients in Ramona, Julian, Alpine and Borrego Springs see Dr. Elana Shalem by video from home.
- Private pay, superbill for PPO reimbursement
- No referral needed to start
- Usually seen within a week

Ramona, Julian and Borrego Springs
Why San Diego backcountry patients choose video.
East of the coast, San Diego County turns into ranches, orchards, mountain towns and desert, an hour or more from the city's medical centers. Ranch families with back pain, retirees with leaking or urgency and mothers after childbirth are seen one-on-one by video.
One-on-one with Dr. Elana Shalem, PT, DPT (CAPP-OB), licensed in California: a 60-minute evaluation, then 45-minute follow-ups.
What we treat in Ramona, Julian and Borrego Springs
Common reasons San Diego backcountry patients book.
All services: Women's pelvic floor physical therapy · Men's pelvic floor physical therapy · Orthopedic physical therapy
Private pay
Private pay in Ramona, Julian and Borrego Springs
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.
Referrals: California allows you to start physical therapy without a referral for up to 45 days or 12 visits. If care continues beyond that, we help you get a signed plan of care from your physician.
Neighborhoods
Serving all of Ramona, Julian and Borrego Springs
ZIP codes 91901, 92004, 92036, 92065. Any home with an internet connection works.
- Ramona
- Julian
- Borrego Springs
- Alpine
- Pine Valley
- Warner Springs
- Santa Ysabel
Nearby: Carlsbad, Encinitas and Cardiff · Temecula and Murrieta · El Centro and the Imperial Valley · All of Southern California
Questions
Questions from Ramona, Julian and Borrego Springs
Does it work with rural internet?
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.
How much does it cost?
Rates are quoted on the free discovery call. Visits are private pay with a superbill, and HSA and FSA cards are accepted.
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.