| CASE NUMBER | I-200-24117-929438 |
| CASE STATUS | Certified |
| RECEIVED DATE | 4/26/2024 |
| DECISION DATE | 5/3/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Exercise Physiologist |
| SOC CODE | 29-1128.00 |
| SOC TITLE | Exercise Physiologists |
| 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 | Netherland Physical Therapy and Occupational Therapy, PLLC |
| TRADE NAME DBA | Riverdale Physical Therapy |
| EMPLOYER ADDRESS1 | 2600 Netherland Ave |
| EMPLOYER ADDRESS2 | Suite 121 |
| EMPLOYER CITY | Bronx |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10463 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 17188840444 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621340 |
| EMPLOYER POC LAST NAME | Kartsev |
| EMPLOYER POC FIRST NAME | Gleb |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Co-Owner |
| EMPLOYER POC ADDRESS1 | 2600 Netherland Ave |
| EMPLOYER POC ADDRESS2 | Suite 121 |
| EMPLOYER POC CITY | Bronx |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10463 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 17188840444 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | g.kartsev@riverdaleptot.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Fooksman |
| AGENT ATTORNEY FIRST NAME | Marina |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 303 5th Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 1005 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10016 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 12124814115 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | marina@fooksmanlaw.com |
| LAWFIRM NAME BUSINESS NAME | Fooksman Law Firm PC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York State Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 2735 Henry Hudson Pkwy W |
| WORKSITE ADDRESS2 | Suite 103 |
| WORKSITE CITY | New York |
| WORKSITE COUNTY | BRONX |
| WORKSITE STATE | NY |
| WORKSITE POSTAL CODE | 10463 |
| WAGE RATE OF PAY FROM | 95480 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $73,736.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | IV |
| 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 | Fooksman |
| PREPARER FIRST NAME | Marina |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Fooksman Law Firm |
| PREPARER EMAIL | marina@fooksmanlaw.com |
| BEGIN DATE CONVERTED | 2024-01-10 |
