Western Montana · Livingston and the Paradise Valley · Private pay
Private pelvic floor physical therapy in Livingston and the Paradise Valley, by video.
In Livingston, up the Paradise Valley and down to Gardiner, Park County patients see Dr. Elana Shalem by video instead of crossing Bozeman Pass in the wind.
- Private pay, superbill for PPO reimbursement
- No referral needed to start
- Usually seen within a week

Livingston and the Paradise Valley
Why Park County patients choose video.
Park County is wind, river and railroad country. Livingston grew up around the Northern Pacific shops and still has its depot and a downtown of galleries; the Yellowstone River runs north through the Paradise Valley between the Absarokas and the Gallatins; and Gardiner sits at the park's north entrance. Winter gusts on Bozeman Pass make a 25-mile drive feel long. Ranchers, writers, river guides and park workers live here. Low back pain, hip pain, pelvic pain and urinary urgency in men are common reasons people in Park County 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 Livingston and the Paradise Valley
Common reasons Park 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 Livingston and the Paradise 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 Livingston and the Paradise Valley
ZIP codes 59047, 59027, 59065, 59030. Any home with an internet connection works.
- Livingston
- Mill Creek
- Pine Creek
- Pray
- Emigrant
- Gardiner
Nearby: Bozeman · Big Sky · Belgrade, Manhattan and Three Forks · All of Western Montana
Questions
Questions from Livingston and the Paradise Valley
Can seasonal park workers in Gardiner book visits for the summer?
Yes, from any private room in Montana. Gardiner works; staff housing at Mammoth, across the line in Wyoming, does not, because the patient must be physically in Montana at the time of each visit. Early and late times fit around shifts.
Is a referral from a Livingston doctor needed to start?
No. Physical therapy in Montana does not require a referral, and there is no visit limit. Visits are private pay, with a superbill for out-of-network reimbursement, and HSA and FSA cards are accepted.
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.