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First State Health & Wellness

Chiropractor · Rehoboth Beach, DE · reviewed since 2020

How the Experts Score is calculatedEach factor is scored 0–100 on absolute terms (standing in the category can only raise it), then weighted; problems flagged in review highlights or a recent slide in ratings are subtracted:Satisfaction 69%98+67.8Reliability 31%98+30.2Experts Score= 98Not enough data for value, replies to reviews; its weight is shared by the others.Grade A: A = 80+, B = 60–79, C = 40–59, D = 20–39. Needs 10+ reviews.98SCORE
AGradeLetter from the Experts Score: A = 80+, B = 60–79, C = 40–59, D = 20–39, F = under 20.
#45 of 161 physical therapistsPosition by Experts Score among all companies we track in this category. · better than 73%
5.0 ★★★★★ 178 Google reviews · 21 photos
99%five-star reviews
5.00★last 12 monthsAverage stars on reviews from the last 12 months only.
0%1–2★ in 2 yearsShare of 1–2★ reviews in the last 24 months — or the 20 newest reviews when the company had fewer than 20 in that time.
84%reviews answered by the owner
Oct 2026latest review

First State Health & Wellness at a glance

Google reviewers rate First State Health & Wellness five stars based on 178 reviews, noting the owner responds to most feedback. Patients frequently cite punctuality, clear communication, and effective treatment for back, neck, and sciatica pain through chiropractic adjustments and acupuncture. Staff are described as friendly and accommodating, with many noting relief after a few visits. One low-star review criticized the initial intake process for relying on an iPad questionnaire and the absence of x-rays during the first appointment.

  • Google rating: 5.0 out of 5 from 178 reviews (99% five-star).
  • Reviews on this page: 178 Google reviews (163 with written comments, 1 with photos).
  • Owner responses: the business replied to 84% of reviews.
  • Most recent review: October 23, 2026.
  • Service: Physical Therapist serving Rehoboth Beach, Delaware.

Data from Google, last updated October 28, 2026.

Score profile vs other physical therapists

Score per factor (100 = best)Each factor is scored 0–100 on absolute terms (star average, share of 1–2★ reviews, price verdicts…); standing within the category can only raise it, never lower it.. Strongest: momentum and satisfaction; weakest: reliability.

Satisfaction98Reliability98Craft & service–Value–Momentum100Replies to reviews–Satisfaction: 98 (median 96)Reliability: 98 (median 96)Momentum: 100 (median 100)
This companyPhysical Therapists median0 = centre, 100 = best
SatisfactionSatisfaction · 54% of the scoreRecency-weighted star average (2-year half-life), shrunk toward the category mean by review volume; the company’s own lifetime average as the prior; absolute: 4.0★ = 0, 5★ = 100.First State Health & Wellness: 98/100 on this factor. Category median: 96.A
98
ReliabilityReliability · 24% of the scoreHow rarely jobs go badly: share of 1–2★ reviews — 60% the last 24 months (or the 20 newest if fewer), 40% all-time; 0% = 100, 15%+ = 0; the category percentile can only raise it.First State Health & Wellness: 98/100 on this factor. Category median: 96.A
98
Craft & serviceCraft & service · penalty only, up to −10 pointsGoogle review highlights: Quality, Professionalism, Responsiveness, Punctuality — how rarely reviewers flag them as a negative, per review since highlights began; 0% = 100, 5%+ = 0. Subtracted from the score (up to −10), never averaged in — clean highlights are the norm, not a bonus.Not enough reviews for this factor yet. Category median: 100.–
–
ValueValue · 14% of the scoreCustomers’ own price verdicts (Great / Reasonable vs Overpriced) and Value highlights; 65% absolute (all “reasonable” ≈ 80, “great” = 100), the category percentile can only raise it.Not enough reviews for this factor yet. Category median: 97.–
–
MomentumMomentum · penalty only, up to −10 pointsPenalises only a real slide: last-12-month average below lifetime (−0.5★ = 0). Still 4.8★+ over the last year, or steady/improving = 100. Subtracted from the score (up to −10), never averaged in.First State Health & Wellness: 100/100 on this factor. Category median: 100.A
100
Replies to reviewsReplies to reviews · 7% of the scoreHow often the owner publicly replies to reviews under 5★ (1–4★). Needs 3+ such reviews, otherwise not counted; 65% absolute (80%+ replied = 100), the category percentile can only raise it.Not enough reviews for this factor yet. Category median: 74.–
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Bar = this company · dark tick = category median.

Star ratings

178 Google reviews we collected

  • 5 stars17799%
  • 4 stars00%
  • 3 stars00%
  • 2 stars00%
  • 1 star11%

Praise vs complaints

Phrases our text analysis found in 163 written reviews

  • Praise26398%
  • Complaints62%

Topic share

How often each topic comes up in the written reviews

  • Staff & attitude9335%
  • Would recommend7126%
  • Speed & response3112%
  • Communication3011%
  • Quality & results2610%
  • Honesty & trust145%
  • Price & value41%

What customers talk about

We read 163 written reviews and marked every phrase about these topics. The same colors are highlighted in the reviews.

  • “Dr Tomko got me back to normal in a few visits, he went above and beyond and was thoughtful and courteous.”
  • “Highly recommend for anyone needing chiropractic services!”
  • “The staff is friendly and appointments were always on time.”
    “I thought it was stress caused by an accident, so I delayed the process of going to the doctor.”
  • “Dr Camac was very kind, easy to communicate with and never pushy on treatments.”
  • “A wonderful experience in ever way--very helpful and pleasant people and great relief from back pain”
    “I messed up my jaw and neck muscles over a weekend and they were able to get me in right away on Monday and see me multiple times throughout the week.”
  • “…empathetic to my feelings and my care, there’s no other team I would trust more with my treatment.…”
  • “I always leave feeling better and the improvement in my mobility and pain levels have improved a great deal.”

People customers mention

  • Tomko 101 reviews
  • Zach 26 reviews
  • Zack 14 reviews
  • Camac 11 reviews
  • Lewes 8 reviews
  • Chiropractic 5 reviews

praise complaint · found by our text analysis, Google review wording unchanged.

Recent reviews

Lisa1 reviewTotal number of Google reviews this person has written across all businesses on Google Maps (not just this one). More reviews usually means a more experienced, trustworthy reviewer. · 5 days ago★★★★★

Very easy to schedule follow up appointments. The Docs are great and I am always feeling better when I leave than when I came. Highly recommend this practice.

Richard6 reviewsTotal number of Google reviews this person has written across all businesses on Google Maps (not just this one). More reviews usually means a more experienced, trustworthy reviewer. · a week ago★★★★★

Very professional staff and doctors. The issue I had was identified, treated and resolved in about 5 visits.

KaitlynLocal Guide · 12 reviewsTotal number of Google reviews this person has written across all businesses on Google Maps (not just this one). More reviews usually means a more experienced, trustworthy reviewer. · a week ago★★★★★

Dr Tomko got me back to normal in a few visits, he went above and beyond and was thoughtful and courteous. His bed side manner is 10 out 10 and is ability help those heal is out of this world! Could not recommend him and the team here enough. They are all very considerate and make you feel at home

BethLocal Guide · 17 reviewsTotal number of Google reviews this person has written across all businesses on Google Maps (not just this one). More reviews usually means a more experienced, trustworthy reviewer. · 3 weeks ago★★★★★

Eric Camac, DC, FIAMA delivers careful and deliberate adjustments. He is punctual and has a friendly demeanor. He is keeping my spine healthy.

Carole10 reviewsTotal number of Google reviews this person has written across all businesses on Google Maps (not just this one). More reviews usually means a more experienced, trustworthy reviewer. · 3 weeks ago★★★★★

Dr. Tomko is exceptionally. My persistent neck pain is getting better daily. Thank you!

Dana7 reviewsTotal number of Google reviews this person has written across all businesses on Google Maps (not just this one). More reviews usually means a more experienced, trustworthy reviewer. · a month ago★★★★★

Dr. Comac is a genius!! Suffering for six years and I am so much better!!! If you have lower back pain or sciatica, don’t hesitate, just go!! Thank you Dr. Comac BTW. The staff couldn’t be nicer!!

Photos

Customer reviews

5.0 ★★★★★ 178 reviews on Google · rating breakdown

Reviews from Google, shown as published (original wording, unedited).

Team members customers mention
Filter by topic — each topic is highlighted in the reviews in the same color
Lisa Zanolini1 reviewTotal number of Google reviews Lisa has written across all businesses on Google Maps, not just this one.
Review from Google · view on Google
★★★★★

Very easy to schedule follow up appointments. The Docs are great and I am always feeling better when I leave than when I came. Highly recommend this practice.

Response from the owner · 2 days ago

Thank you for sharing, we appreciate your kind referral!

Richard Soukup6 reviewsTotal number of Google reviews Richard has written across all businesses on Google Maps, not just this one.
Review from Google · view on Google
★★★★★

Very professional staff and doctors. The issue I had was identified, treated and resolved in about 5 visits.

Kaitlyn SchaferLocal Guide · 12 reviewsTotal number of Google reviews Kaitlyn has written across all businesses on Google Maps, not just this one.
Review from Google · view on Google
★★★★★

Dr Tomko got me back to normal in a few visits, he went above and beyond and was thoughtful and courteous. His bed side manner is 10 out 10 and is ability help those heal is out of this world! Could not recommend him and the team here enough. They are all very considerate and make you feel at home

Response from the owner · a week ago

Thanks so much for sharing! We're so glad you had a great experience and we appreciate your recommendation, best of health to you!

Beth MortonsonLocal Guide · 17 reviewsTotal number of Google reviews Beth has written across all businesses on Google Maps, not just this one.
Review from Google · view on Google
★★★★★

Eric Camac, DC, FIAMA delivers careful and deliberate adjustments. He is punctual and has a friendly demeanor. He is keeping my spine healthy.

Response from the owner · 2 weeks ago

We're so glad you're having a good experience and staying well! Thank you for sharing!

Carole Swaney10 reviewsTotal number of Google reviews Carole has written across all businesses on Google Maps, not just this one.
Review from Google · view on Google
★★★★★

Dr. Tomko is exceptionally. My persistent neck pain is getting better daily. Thank you!

Dana Banana7 reviewsTotal number of Google reviews Dana has written across all businesses on Google Maps, not just this one.
Review from Google · view on Google
★★★★★

Dr. Comac is a genius!! Suffering for six years and I am so much better!!! If you have lower back pain or sciatica, don’t hesitate, just go!! Thank you Dr. Comac BTW. The staff couldn’t be nicer!!

Cynthia Rader5 reviewsTotal number of Google reviews Cynthia has written across all businesses on Google Maps, not just this one.
Review from Google · view on Google
★★★★★

Dr. Thomko and his staff we great and fixed all my issues everyone is very knowledgeable and accommodating.

Debbie Moore8 reviewsTotal number of Google reviews Debbie has written across all businesses on Google Maps, not just this one.
Review from Google · view on Google
★★★★★

Dr Tomko has helped me tremendously throughout my visits. He cares for the wellbeing of his patients. The office staff are very friendly and accommodating.

Response from the owner · 2 months ago

Thank you Debbie! We're so glad you had a 5-star experience with us!

Brian Baker5 reviewsTotal number of Google reviews Brian has written across all businesses on Google Maps, not just this one.
Review from Google · view on Google
★★★★★

Always a great experience at First State!! Highly recommend for anyone needing chiropractic services!!

Response from the owner · 2 months ago

Thanks for the compliment of referring us, we appreciate you!

Kari Nietert1 reviewTotal number of Google reviews Kari has written across all businesses on Google Maps, not just this one.
Review from Google · view on Google
★★★★★

I have been seeing Dr. Tomko regularly since acquiring an incomplete spinal cord injury in 2021. Due to his excellent techniques, extensive knowledge, expert advice, and kind demeanor, I have been able to feel supported & comfortable managing my chronic pain without the use of pain medications.

Response from the owner · 2 months ago

THIS is great news! We're so glad to hear that you could manage your pain without medication, wonderful!

First State Health & Wellness on Google Maps →

Business details