| CASE NUMBER | I-200-24178-149963 |
| CASE STATUS | Certified |
| RECEIVED DATE | 6/26/2024 |
| DECISION DATE | 7/3/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Physical Therapist/Center Therapy Director |
| 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 | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Occupational Health Centers of California, A Medical Corporation |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 5080 Spectrum Drive |
| EMPLOYER ADDRESS2 | Suite 1200 West |
| EMPLOYER CITY | Addison |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 75001 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +19723648024 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621340 |
| EMPLOYER POC LAST NAME | Smith |
| EMPLOYER POC FIRST NAME | Courtney |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Senior Corporate Paralegal |
| EMPLOYER POC ADDRESS1 | 4714 Gettysburg Road |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Mechanicsburg |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 17055 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +17179754541 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | coismith@selectmedical.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Stock |
| AGENT ATTORNEY FIRST NAME | William |
| AGENT ATTORNEY MIDDLE NAME | A. |
| AGENT ATTORNEY ADDRESS1 | 1601 Market Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2600 |
| AGENT ATTORNEY CITY | Philadelphia |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 19103 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +12158258600 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | jmoniz@klaskolaw.com |
| LAWFIRM NAME BUSINESS NAME | Klasko Immigration Law Partners, LLP |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 3663 Arch Rd |
| WORKSITE ADDRESS2 | Suite 400 |
| WORKSITE CITY | Stockton |
| WORKSITE COUNTY | SAN JOAQUIN |
| WORKSITE STATE | CA |
| WORKSITE POSTAL CODE | 95215 |
| WAGE RATE OF PAY FROM | 103,002.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $135,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $103,002.00 |
| PW UNIT OF PAY | Year |
| 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 | 3 |
| 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 |
