Western Montana · Libby, Eureka and Troy · Private pay
Private pelvic floor physical therapy in Libby, Eureka and Troy, by video.
From the Kootenai River towns of Libby and Troy to Eureka and the Tobacco Valley, Lincoln County patients meet Dr. Elana Shalem by secure video.
- Private pay, superbill for PPO reimbursement
- No referral needed to start
- Usually seen within a week

Libby, Eureka and Troy
Why Lincoln County patients choose video.
Lincoln County fills the far northwest corner of Montana with the Cabinet Mountains, the Kootenai River, Lake Koocanusa and far more national forest than people. Libby and Troy grew up on logging, sawmills and mines; Eureka and the Tobacco Valley are ranches, retirees and a short drive to the Canadian border. Any trip to a specialist is hours of two-lane highway, and winter makes it longer. Back and neck pain from physical work, sciatica and recovery after prostate surgery are frequent reasons people here 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 Libby, Eureka and Troy
Common reasons Lincoln 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 Libby, Eureka and Troy
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 Libby, Eureka and Troy
ZIP codes 59923, 59935, 59917, 59930, 59918, 59934. Any home with an internet connection works.
- Libby
- Troy
- Yaak
- Bull Lake
- Eureka
- Rexford
- Fortine
- Trego
Nearby: Kalispell and Columbia Falls · Whitefish · All of Western Montana
Questions
Questions from Libby, Eureka and Troy
Are visits booked in Mountain Time, even right next to the Idaho line in Troy?
Yes. Montana is on Mountain Time, and visits are booked in local time. North Idaho runs on Pacific Time, so anyone who works across the line should allow for the one-hour difference.
Will a video visit work from the Yaak on rural internet?
Often, yes. Satellite and fixed wireless internet usually handle a video call, and cellular data often works where there is a signal. The only other needs are a camera, a private room and floor space for a mat.
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.