Upstate and Western New York · Lewis County and the Tug Hill · Private pay
Private pelvic floor physical therapy in Lewis County and the Tug Hill, by video.
Patients in Lowville, Boonville, Croghan and across the Tug Hill see Dr. Elana Shalem by video from home.
- Aetna in-network, or private pay
- No referral for the first 10 visits or 30 days
- Usually seen within a week

Lewis County and the Tug Hill
Why Lewis County and the Tug Hill patients choose video.
The Tug Hill gets some of the heaviest snow east of the Rockies, and Lewis County's farms and villages are spread out to match. Video visits keep care going through winter for dairy families, snowmobilers and retirees, with no drive to Watertown or Utica.
One-on-one with Dr. Elana Shalem, PT, DPT (CAPP-OB), licensed in New York: a 60-minute evaluation, then 45-minute follow-ups.
What we treat in Lewis County and the Tug Hill
Common reasons Lewis County and the Tug Hill patients book.
All services: Women's pelvic floor physical therapy · Men's pelvic floor physical therapy · Orthopedic physical therapy
Private pay
Private pay in Lewis County and the Tug Hill
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 in New York, billed directly. Other plans are private pay with a superbill; coverage is confirmed before the first visit.
Referrals: New York allows you to start physical therapy without a referral for up to 10 visits or 30 days, whichever comes first. If care continues beyond that, we help you get a referral from your physician.
Neighborhoods
Serving all of Lewis County and the Tug Hill
ZIP codes 13309, 13327, 13367, 13433. Any home with an internet connection works.
- Lowville
- Boonville
- Croghan
- Port Leyden
- Lyons Falls
- Constableville
- Turin
Nearby: Watertown and the Thousand Islands · Central Adirondacks · Mohawk Valley · All of Upstate and Western New York
Questions
Questions from Lewis County and the Tug Hill
What if the roads are closed?
Visits are by video, so they go ahead from home. If the internet goes down, the visit moves to another day.
Do you treat pelvic organ prolapse?
Yes. Heaviness and pressure from prolapse are evaluated by video, and the plan covers strength, pressure management and daily habits.
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.