our Missoula team

Lead Speech-Language Pathologist

Sarah Elliott, MS, CCC-SLP

Sarah was born and raised in Great Falls, MT and graduated with her master’s degree in Speech-Language Pathology from Idaho State University in 2001. She and her husband returned to their home state and felt the pull of the Missoula valley and relocated there right away. 

Sarah has practiced as a Speech-Language Pathologist in the medical field in Missoula for 24 years, most of which included administration and leadership of therapy departments. She’s served patients in multiple settings: acute care hospital, acute rehabilitation unit, outpatient therapy, and a brain injury residential program. Her professional focus has been primarily on the adult population, especially those with brain injury, stroke, Parkinson’s, ALS, and other neurological diagnoses.Specialty areas include dysphagia (swallowing), cognitive-communication, aphasia (language), articulation (speech), and voice disorders. Sarah is certified in LSVT LOUD voicetherapy and MBSImP (swallow study x-ray assessment). As a sixth generation Montanan, Sarah is proud to serve this community and believes that interdisciplinary therapy in the home can be the most powerful way to help people live better lives.

Sarah loves taking advantage of the opportunities that Montana offers. She enjoys skiing, fly fishing, camping, boating, going to concerts, and hiking with her husbandMark, two teenagers Josie and Emma, and yellow lab Ozzy. Other favorite activities include watching her children play sports, tackling home projects and crafts, reading, and painting complex paint-by-number. 

Phone: 406-201-1562 | Email: sarah@bigskymot.com

Lead Occupational Therapist

Brenda Toner, MSOT, OT/L

Brenda is a Montana native who grew up in Helena and, after living on both coasts and in the Midwest, returned home to the state she loves. A graduate of Carroll College and Washington University in St. Louis, she has worked across the healthcare continuum in Missouri, North Carolina, Washington, and Montana, primarily serving adults in outpatient neurologic settings. Her expertise in brain injury rehabilitation led to leadership roles in residential, day treatment, and outpatient programs.

Today, Brenda serves adults in the Bitterroot and Missoula valleys through Big Sky Mobile Outpatient Therapy, working with individuals recovering from neurologic conditions such as stroke, dementia, and brain injury, as well as orthopedic and work-related injuries. She is passionate about helping people develop practical strategies that restore independence, enhance safety, and improve quality of life. Brenda especially values providing care in the home and community, where real-life challenges can be addressed collaboratively with creativity and Montana ingenuity.

Outside of work, she enjoys the adrenaline of Grizzly athletics, the peace of camping, and time spent with family, friends, and dogs of all shapes and sizes.​

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Phone: 406-201-1720 | Email: brenda@bigskymot.com

Physical Therapist

Kelby Grotbo, DPT

Kelby is a proud Montana native who is passionate about helping individuals regain strength, restore mobility, and return to the activities that matter most to them. She earned her Bachelor’s Degree from Montana State University (Go Cats!) and went on to receive her Doctorate of Physical Therapy from the University of Montana. Kelby has experience working in various clinical settings including outpatient orthopedics, rural inpatient, and skilled nursing. She worked as a travel physical therapist for many years, exploring areas such as Alaska, Idaho, and Oregon. She is excited to be back in Montana and closer to family!

With a strong clinical foundation and compassionate approach, Kelby focuses on individualized treatment plans that address each patient’s unique goals and challenges. She believes that successful therapy is built on trust, empowerment, and maybe a little bit of humor along the way.

In her free time, Kelby enjoys spending time outdoors and taking advantage of everything Montana has to offer. She enjoys hiking, camping, boating, reading, cooking, and cuddling up with her pup, Gus.

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Phone: 406-201-1248 | Email: kelby@bigskymot.com 

Speech Language Pathologist 

Deb D'Almeida, MS, CCC-SLP

Deb is an alumnus from the University of Montana with a master’s degree in Speech-Language Pathology. Deb has a background of eighteen years in elementary education in Southern California but feels her most valued time was when she was home raising her three children. In 2016, Deb relocated to Montana where she returned to the university to study Speech-Language Pathology. In her off time, Deb loves to try new restaurants with her husband, play with their dogs in the river, or sit at the potter’s wheel to throw some clay in her home studio.

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Deb professional experience with Speech-Language Pathology includes working for a private practice in Missoula with a population spanning across ages. She shifted her practice to work with adult populations as she began employment with Reliant Rehabilitation at a skilled nursing facility in Polson. Deb is a certified LSVT Loud! practitioner and continues to develop her skills through continuing education and providing treatment for:

• Cognitive-communication

• Aphasia

• Dementia, including Alzheimer's Disease

• Dysphagia (swallowing)

• Voice and articulation

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Deb is excited to join the team at Big Sky Mobile Outpatient Therapy and provide home health therapy for her community in Missoula and N Bitterroot.

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Phone: 406-201-1357 | Email: deb@bigskymot.com

Occupational Therapist

Viet Le, MSOT, OTR/L

Viet was born and raised in Missoula, MT.  In 2010, he became inspired to become a therapist after breaking his leg in a martial arts tournament and receiving therapy himself! Viet specializes in upper body strengthening/conditioning, stroke rehab, and he has been getting good outcomes using e-stimulation as a modality as well. 

Viet is very much a Montana boy, enjoying outdoors- fishing, camping, and hiking when he can get out. Viet also has an 11 year old daughter, named Emma, and she is the driving force for working four jobs! Outside of therapy, Viet is wrapping up being a waiter for 25+ years. Viet values being a healing part of his patients' lives, especially his regulars that he runs into from the restaurant- which is a surprising amount!  He also enjoys cooking and teaching his daughter life skills (as much patience as it takes).  He loves to host weekly backyard barbecues with lawn games. 

Viet looks forward to serving his clients in the community and outside of the inpatient rehabilitation setting which he currently works in as well.

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Phone: 406-201-5901 | Email: info@bigskymot.com

Speech-Language Pathologist 

Kerry Dopler, CCC-SLP

Kerry grew up in Red Lodge, Montana. She graduated in 2021 from the University of Montana speech language pathology program. She also studied Spanish literature and international relations at the University of Montana.

She enjoys linguistics and speaking Spanish when given the opportunity. Kerry utilizes a little American Sign Language and enjoys working with Neurodiverse populations. She understands firsthand the complex necessities of communication given traumatic brain injuries and acquired disorders. Specializing in aphasia, post stroke care, receptive and expressive language disorders and bilingualism. Kerry is eager to share her unique skill set with those in need.

An avid outdoor enthusiast, Kerry loves life, music, skiing, and camping in the great outdoors.

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Phone: 406-201-1248 | Email: info@bigskymot.com