| CASE NUMBER | I-200-24134-987816 |
| CASE STATUS | Certified |
| RECEIVED DATE | 5/13/2024 |
| DECISION DATE | 5/20/2024 |
| 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 | 5/13/2024 |
| END DATE | 5/12/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Adventist Healthcare, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 820 West Diamond Avenue |
| EMPLOYER ADDRESS2 | Suite 500 |
| EMPLOYER CITY | Gaithersburg |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 20878 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 13013153402 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Chiweshe |
| EMPLOYER POC FIRST NAME | Opper |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | International Nurses Program Manager |
| EMPLOYER POC ADDRESS1 | 820 West Diamond Avenue |
| EMPLOYER POC ADDRESS2 | Suite 500 |
| EMPLOYER POC CITY | Gaithersburg |
| EMPLOYER POC STATE | MD |
| EMPLOYER POC POSTAL CODE | 20878 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 13013153226 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | ochiwesh@adventisthealthcare.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Peterson |
| AGENT ATTORNEY FIRST NAME | Allyson |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 302 West Third Street |
| AGENT ATTORNEY ADDRESS2 | Suite 710 |
| AGENT ATTORNEY CITY | Cincinnati |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 45202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 15133818472 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | tyler.peace@muimmigration.com |
| LAWFIRM NAME BUSINESS NAME | Musillo Unkenholt, LLC. |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court of Ohio |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 8807 Colesville Road |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Silver Spring |
| WORKSITE COUNTY | MONTGOMERY |
| WORKSITE STATE | MD |
| WORKSITE POSTAL CODE | 20910 |
| WAGE RATE OF PAY FROM | 48.95 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $43.58 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| 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 Business |
| PREPARER LAST NAME | Peace |
| PREPARER FIRST NAME | Tyler |
| PREPARER MIDDLE INITIAL | J. |
| PREPARER BUSINESS NAME | Musillo Unkenholt, LLC. |
| PREPARER EMAIL | tyler.peace@muimmigration.com |
| BEGIN DATE CONVERTED | 2025-01-05 |
