Western Montana · Ennis, Virginia City and the Madison Valley · Private pay

Private pelvic floor physical therapy in Ennis, Virginia City and the Madison Valley, by video.

Video visits with Dr. Elana Shalem reach ranch families, fishing guides and summer residents around Ennis, Cameron and Virginia City, about an hour from Bozeman.

  • Private pay, superbill for PPO reimbursement
  • No referral needed to start
  • Usually seen within a week
A mother holding her newborn by a window

Ennis, Virginia City and the Madison Valley

Why Madison County patients choose video.

The Madison Valley is cattle ranches and the Madison River, with the Madison Range on one side, the Gravellys and Tobacco Roots on the other, and Ennis as the town for groceries, fly shops and the Fourth of July rodeo. Summer fills the river with drift boats and the valley with seasonal residents; winter empties it back to ranchers and retirees. Over the hill, Virginia City and Alder Gulch keep the gold-rush history. Hip and knee pain, recovery after prostate surgery and bladder leaking bring many valley residents to 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 Ennis, Virginia City and the Madison Valley

Common reasons Madison County patients book.

All services: Women's pelvic floor physical therapy · Men's pelvic floor physical therapy · Orthopedic physical therapy

Private pay

Private pay in Ennis, Virginia City and the Madison Valley

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 Ennis, Virginia City and the Madison Valley

ZIP codes 59729, 59720, 59740, 59755, 59710, 59735, 59745. Any home with an internet connection works.

  • Ennis
  • Cameron
  • McAllister
  • Virginia City
  • Alder
  • Harrison
  • Norris

Nearby: Big Sky · Dillon and Beaverhead County · Bozeman · Butte · All of Western Montana

Questions

Questions from Ennis, Virginia City and the Madison Valley

Can a fishing guide book evening visits in the middle of the season?

Yes. Evening and weekend times are available, and early mornings work before a float. After the 60-minute evaluation, 45-minute follow-ups usually run every one to two weeks around the guiding calendar.

Do you treat men after prostate surgery out in the Madison Valley?

Yes. Leaking and urgency after prostate surgery are treated one-on-one by video once the surgeon clears outpatient physical therapy. Nothing is recorded, and visits happen from home without the drive to Bozeman.

How soon can I be seen?

Usually within a week. Early morning, evening and weekend video visits are available.

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Questions about insurance, pricing, or whether physical therapy is the right next step? We reply within one business day.

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