| CASE NUMBER | I-200-24128-964586 |
| CASE STATUS | Withdrawn |
| RECEIVED DATE | 5/7/2024 |
| DECISION DATE | 5/7/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Staff Physical Therapist |
| SOC CODE | 29-1123.00 |
| SOC TITLE | Physical Therapists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 10/1/2024 |
| END DATE | 9/30/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Jaco Rehab Honolulu, Limited Partnership |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 1300 West Sam Houston Parkway South |
| EMPLOYER ADDRESS2 | Suite 300 |
| EMPLOYER CITY | 77042 |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 77042 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 17132976396 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621340 |
| EMPLOYER POC LAST NAME | Fung |
| EMPLOYER POC FIRST NAME | Jennifer |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Associate General Counsel |
| EMPLOYER POC ADDRESS1 | 1300 West Sam Houston Parkway South |
| EMPLOYER POC ADDRESS2 | Suite 300 |
| EMPLOYER POC CITY | Houston |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 77042 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 17132976396 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | jfung@usph.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Vuong |
| AGENT ATTORNEY FIRST NAME | Jane |
| AGENT ATTORNEY MIDDLE NAME | Nguyen |
| AGENT ATTORNEY ADDRESS1 | 2600 S Gessner Road |
| AGENT ATTORNEY ADDRESS2 | Suite 270 |
| AGENT ATTORNEY CITY | Houston |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 77063 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 17137804982 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | jnv@njclaw.com |
| LAWFIRM NAME BUSINESS NAME | Nguyen Jazrawi & Chen, PLLC |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court of Texas |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 1401 S. Beretania Street |
| WORKSITE ADDRESS2 | Suite 550 |
| WORKSITE CITY | Honolulu |
| WORKSITE COUNTY | HONOLULU |
| WORKSITE STATE | HI |
| WORKSITE POSTAL CODE | 96814 |
| WAGE RATE OF PAY FROM | 74984 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $74,984.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-01-10 |
