Willamette Valley and the Oregon Coast · Manzanita, Tillamook and Pacific City · Private pay
Private pelvic floor physical therapy in Manzanita, Tillamook and Pacific City, by video.
Tillamook County patients see Dr. Elana Shalem by video from dairy farms, fishing towns and beach cottages between Neahkahnie Mountain and Cape Kiwanda.
- Private pay, superbill for PPO reimbursement
- No referral needed to start
- Usually seen within a week

Manzanita, Tillamook and Pacific City
Why Tillamook County patients choose video.
Tillamook County is cows, cheese and rain, plenty of it: dairy pastures around Tillamook Bay, the creamery on Highway 101, oysters in Netarts and Bay City, the Three Capes route, and the dory fleet launching off the beach at Pacific City. Manzanita and Nehalem fill with second-home owners and retirees. Getting to Portland means the Wilson River Highway, which can be slow in winter. Prolapse, bladder leaking, low back pain from dairy work and menopause changes are common reasons people here book.
One-on-one with Dr. Elana Shalem, PT, DPT (CAPP-OB), licensed in Oregon: a 60-minute evaluation, then 45-minute follow-ups.
What we treat in Manzanita, Tillamook and Pacific City
Common reasons Tillamook 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 Manzanita, Tillamook and Pacific 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: Oregon 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 Manzanita, Tillamook and Pacific City
ZIP codes 97130, 97131, 97141, 97135. Any home with an internet connection works.
- Manzanita
- Nehalem
- Wheeler
- Rockaway Beach
- Bay City
- Tillamook
- Netarts
- Oceanside
- Pacific City
Nearby: Astoria, Seaside and Cannon Beach · Lincoln City, Depoe Bay and Newport · Newberg, Dundee and McMinnville · All of Willamette Valley and the Oregon Coast
Questions
Questions from Manzanita, Tillamook and Pacific City
Do dairy farm hours leave room for physical therapy?
Usually. Early morning, evening and weekend times are available, and follow-ups are 45 minutes, usually every one to two weeks, so a visit can fit between milkings.
Can visits go ahead when Highway 6 is closed?
Yes. Visits do not depend on the road, only on a phone or laptop with a camera. Cellular data often works when the internet is out after a storm.
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.