Western Montana · Helena, East Helena and Montana City · Private pay
Private pelvic floor physical therapy in Helena, East Helena and Montana City, by video.
Whether it is early morning, a lunch hour or after the kids are asleep, Helena, East Helena and Montana City patients see Dr. Elana Shalem by video.
- Private pay, superbill for PPO reimbursement
- No referral needed to start
- Usually seen within a week

Helena, East Helena and Montana City
Why Helena-area patients choose video.
Helena is the capital, so a big share of town works for state agencies or the courts, and lawyers and lobbyists arrive with the legislature every other winter. Last Chance Gulch runs through the old downtown, and trails on Mount Helena and Mount Ascension start a few blocks from houses. Out in the Helena Valley and up in Montana City, newer homes on acreage mean longer drives. Neck pain from desk work, bladder leaking, menopause changes and pain with intercourse are common reasons Helena-area patients 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 Helena, East Helena and Montana City
Common reasons Helena-area patients book.
All services: Women's pelvic floor physical therapy · Men's pelvic floor physical therapy · Orthopedic physical therapy
Private pay
Private pay in Helena, East Helena and Montana City
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 Helena, East Helena and Montana City
ZIP codes 59601, 59602, 59635, 59634. Any home with an internet connection works.
- Downtown Helena
- Mansion District
- Sixth Ward
- Helena Valley
- East Helena
- Montana City
- Clancy
- Unionville
Nearby: Butte · Anaconda, Deer Lodge and Philipsburg · Belgrade, Manhattan and Three Forks · All of Western Montana
Questions
Questions from Helena, East Helena and Montana City
Can state employees in Helena pay with an HSA or FSA?
Yes. HSA and FSA cards are accepted. Visits are private pay, and a superbill after every visit can be submitted for out-of-network reimbursement.
Can a 45-minute follow-up happen on a lunch break near the Capitol?
Yes, from any private room, including an office with the door closed. Visits are on a HIPAA-compliant platform and nothing is recorded. Early morning and evening times are available too.
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.