In Home Physical Therapy & Rehabilitation Services in Wilmington, Kent County, & New Castle County, DE

First State Rehab at Home (FSRAH) provides in-home physical therapy and rehabilitation services to seniors in Wilmington, Delaware and the surrounding communities of Kent County and New Castle County.  Our team is lead by husband and wife, Tom & Deborah Gangemi who collectively have been physical therapists for over 60 years.  Since relocating to Delaware, their mission is to help patience regain strength and independence in their homes using a hands on and personalized approach.

Tom, Deb and the other therapists at FSRAH use advanced physical therapy techniques to restore mobility, promote pain relief, reduce swelling, and reduce the risk of falls and injury. We primarily target chronic conditions and diseases such as, Parkinson's Disease, Lymphedema, Arthritis, Back Pain, Balance Disorders, Hip Pain, post-surgical procedures, and injuries suffered from falls or auto accidents.

Physical therapy is a safe, natural way to provide pain relief and restore your independence. Make the right choice for you or the ones you love and call us today to setup your free phone consultation. We are ready to help our patients restore their lives to the way it was before!


Neck Pain

Convenient. Intensive. Highly personalized. I get more out of one house calls therapy session than a week’s worth at a clinic. And, there is no down time getting to and from. I will tell my friends to call First State Rehab At Home for results!

Stroke Rehab

Thanks for the time and personal attention you have provided my mom. She has looked forward to your therapy sessions and has been diligent about continuing with her homework. This is a fantastic service you are providing!

Lymphedema Therapy

My legs swelled up slowly. I even had to buy shoes that are 2 sizes longer and 3 widths wider than I would normally wear. I was finally diagnosed with lymphedema. I worked with Deb for 2 weeks. Now I am wearing all of my old favorite shoes and I can walk up the stairs without getting tired. She helped me get my life back!


I work harder with you in the home than I ever did in a clinic! When you show me how to do my exercises in my home, I know how to do them and where! Simple, but it has made a big difference!

Parkinson's Disease

Since I completed the LSVT BIG therapy, I am moving so much better all of the time! Working with you at my house made it “real world” and much more meaningful!

Lymphedema Therapy

My legs have been so swollen and heavy for years. Then Deb did lymphedema therapy with me. It took three weeks to reduce my legs back to their old size. I am now able to go upstairs to sleep in my bed. Walking is so easy now!


You have more options than ever for the day to day aches and pains. When combined with monitored physical therapy, you can use all of the following tips to relieve the symptoms while improving the strength and the mobility of your muscles.

At First State Rehab at Home, we know how important it is for many of our patients to live independently in the comfort of their own homes for as long as possible. In fact, according to a 2010 AARP study, 80% of adults aged 50 or older prefer to age in their own homes, as opposed to a senior living...


Do you ever wake up feeling stiff and achy, as if your body is being weighed down by a pile of bricks? Everyone wakes up feeling like this from time to time - you might have had a tough workout the day before, you might have spent an excessive amount of time on your feet running errands, or you might...



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