| CASE NUMBER | I-200-24344-529298 |
| CASE STATUS | Certified |
| RECEIVED DATE | 12/9/2024 |
| DECISION DATE | 12/16/2024 |
| 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 | 1/13/2025 |
| END DATE | 1/12/2028 |
| 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 | Powerback Rehabilitation, LLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 101 East State Street |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Kennett Square |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 19348 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 19492309401 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621340 |
| EMPLOYER POC LAST NAME | Leibnitz |
| EMPLOYER POC FIRST NAME | Lori |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Senior Vice President, Human Resources |
| EMPLOYER POC ADDRESS1 | 101 East State Street |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Kennett Square |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 19348 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 19492309401 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | lori.leibnitz@powerbackrehab.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Klasko |
| AGENT ATTORNEY FIRST NAME | H. Ronald |
| AGENT ATTORNEY MIDDLE NAME | |
| 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 | jstrickler@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 | Yes |
| SECONDARY ENTITY BUSINESS NAME | Bowie Center Limited Partnerships |
| WORKSITE ADDRESS1 | Larkin Chase Center |
| WORKSITE ADDRESS2 | 15005 Health Ctr Dr |
| WORKSITE CITY | Bowie |
| WORKSITE COUNTY | PRINCE GEORGE'S |
| WORKSITE STATE | MD |
| WORKSITE POSTAL CODE | 20716 |
| WAGE RATE OF PAY FROM | $44.02 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $50.00 |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $39.20 |
| 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 | 5 |
| 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 | 2025-01-13 |
