| CASE NUMBER | I-200-24348-540794 |
| CASE STATUS | Certified |
| RECEIVED DATE | 12/13/2024 |
| DECISION DATE | 12/20/2024 |
| 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 | 1/6/2025 |
| END DATE | 1/5/2028 |
| 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 | SPORTSMED PT, LLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 266 Harristown Road |
| EMPLOYER ADDRESS2 | Suite 304 |
| EMPLOYER CITY | Glen Rock |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 7452 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 12018704304 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621340 |
| EMPLOYER POC LAST NAME | Morrell |
| EMPLOYER POC FIRST NAME | Sean |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Recruiting Manager |
| EMPLOYER POC ADDRESS1 | 266 Harristown Road |
| EMPLOYER POC ADDRESS2 | Suite 304 |
| EMPLOYER POC CITY | Glen Rock |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 7452 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 12018704304 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | smorrell@spineandsportsmed.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Reyes |
| AGENT ATTORNEY FIRST NAME | Jesus Martin |
| AGENT ATTORNEY MIDDLE NAME | Lomboy |
| AGENT ATTORNEY ADDRESS1 | 71 West 23rd Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1619 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10010 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 12125242740 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | jmreyeslaw@outlook.com |
| LAWFIRM NAME BUSINESS NAME | Law Firm of Jesus Martin L. Reyes, PC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 634 Summit Avenue |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Jersey City |
| WORKSITE COUNTY | HUDSON |
| WORKSITE STATE | NJ |
| WORKSITE POSTAL CODE | 7306 |
| WAGE RATE OF PAY FROM | $95,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $93,309.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| 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 | N/A |
| PREPARER FIRST NAME | N/A |
| PREPARER MIDDLE INITIAL | N/A |
| PREPARER BUSINESS NAME | NOT APPLICABLE |
| PREPARER EMAIL | N/A |
| BEGIN DATE CONVERTED | 2025-01-06 |
