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Serving the Bitterroot Valley, Missoula, Bozeman, and Billings
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

Physical Therapist
Jake Capko, DPT
Jake was raised in Corvallis, MT and after earning his BS at Dakota Wesleyan University and Doctorate of Physical Therapy at the University of Mary, he returned home to provide care for his Southwest Montanan community in 2019.Since his return, Jake has worked with a population across the lifespan in communities from Drummond to Darby; specializing in interdisciplinary neurological rehabilitation including Parkinson’s Disease, Multiple Sclerosis, Concussion, Cerebral Palsy, spinal cord injury, stroke, vertigo and balance deficits. He has also assisted many individuals with orthopedic conditions resulting from general deconditioning, joint replacement and repair, and post-amputation. He utilizes research-based clinical evidence to assist individuals in regaining their function and returning to the activities that they enjoy.In his free time you’ll find him reading, hunting, hiking, weight lifting, playing various sports and spending time with his wife raising another generation of Bitterrooters.
Email: jake@bigskymot.com | Phone: 406-201-5583

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:
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Cognitive-communication
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Aphasia
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Dementia, including Alzheimer's Disease
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Dysphagia (swallowing)
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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
Allie Hale, OTR/L
Bio coming soon!

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