Western Montana · Big Sky · Private pay
Private pelvic floor physical therapy in Big Sky, by video.
Under Lone Peak, Big Sky homeowners, year-round families and the people who run the mountain meet Dr. Elana Shalem on video, an hour up the canyon from Bozeman.
- Private pay, superbill for PPO reimbursement
- No referral needed to start
- Usually seen within a week

Big Sky
Why Big Sky patients choose video.
Big Sky is a resort that turned into a town: second homes in the Yellowstone Club, Spanish Peaks and Moonlight Basin, lift operators and cooks renting in the Meadow, and more families with kids at Lone Peak High School every year. Highway 191 through Gallatin Canyon is the only road to Bozeman, and wrecks and storms sometimes close it. Days are built around skiing in winter and hiking and biking in summer. Knee and shoulder injuries, leaking while skiing and postpartum recovery are common reasons people on the mountain book.
One-on-one with Dr. Elana Shalem, PT, DPT (CAPP-OB), licensed in Montana: a 60-minute evaluation, then 45-minute follow-ups.
What we treat in Big Sky
Common reasons Big Sky patients book.
All services: Women's pelvic floor physical therapy · Men's pelvic floor physical therapy · Orthopedic physical therapy
Private pay
Private pay in Big Sky
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: Montana allows you to see a physical therapist for evaluation and treatment without a physician referral, with no visit limit. Some insurance plans still ask for one, and we check that for you.
Neighborhoods
Serving all of Big Sky
ZIP codes 59716. Any home with an internet connection works.
- Meadow Village
- Town Center
- Mountain Village
- Moonlight Basin
- Spanish Peaks
- Yellowstone Club
- Gallatin Canyon
Nearby: Bozeman · Belgrade, Manhattan and Three Forks · Ennis, Virginia City and the Madison Valley · All of Western Montana
Questions
Questions from Big Sky
Can owners at the Yellowstone Club or Spanish Peaks keep up visits while in residence?
Yes, while they are physically in Montana at the time of each visit. Visits are one-on-one from any private room, and the plan follows the weeks in residence, with a home program for the time away.
Does a closure on Highway 191 affect visits?
No. Visits are by video, so a wreck in the canyon or a snowstorm does not change the appointment. A phone or laptop with a camera and a private room are all that is needed.
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.