| CASE NUMBER | I-200-24192-186375 |
| CASE STATUS | Certified |
| RECEIVED DATE | 7/10/2024 |
| DECISION DATE | 7/17/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | 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 | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | THERADYNAMICS REHAB MANAGEMENT LLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 337 CROSSWAYS PARK DR |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | WOODBURY |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11797 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +15162245199 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621340 |
| EMPLOYER POC LAST NAME | DE GUZMAN |
| EMPLOYER POC FIRST NAME | JOCELYN |
| EMPLOYER POC MIDDLE NAME | N/A |
| EMPLOYER POC JOB TITLE | CHIEF Executive OFFICER |
| EMPLOYER POC ADDRESS1 | 337 CROSSWAYS PARK DR |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | WOODBURY |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 11797 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +15162245199 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | JDEGUZMAN@THERAREHABMGMT.COM |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | GEIGER |
| AGENT ATTORNEY FIRST NAME | JAMES |
| AGENT ATTORNEY MIDDLE NAME | RICHARD |
| AGENT ATTORNEY ADDRESS1 | 225 Crossways Park Dr |
| AGENT ATTORNEY ADDRESS2 | Ste 2 |
| AGENT ATTORNEY CITY | Woodbury |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 11797 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +15169381118 |
| AGENT ATTORNEY PHONE EXT | 7814 |
| AGENT ATTORNEY EMAIL ADDRESS | JGEIGER@PCHOICESTAFFING.COM |
| LAWFIRM NAME BUSINESS NAME | Perfect Choice Staffing |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | COURT OF APPEALS |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 300 W 122nd St |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | New York |
| WORKSITE COUNTY | NEW YORK |
| WORKSITE STATE | NY |
| WORKSITE POSTAL CODE | 10027 |
| WAGE RATE OF PAY FROM | 37.49 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $46.50 |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $37.49 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| 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 Business |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-01-10 |
