| CASE NUMBER | I-200-24290-410679 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/16/2024 |
| DECISION DATE | 10/23/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Occupational Therapist Clinical Lead |
| SOC CODE | 29-1122.00 |
| SOC TITLE | Occupational Therapists |
| FULL TIME POSITION | N |
| BEGIN DATE | 11/1/2024 |
| END DATE | 10/31/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| EMPLOYER NAME | Select Rehabilitation LLC |
| TRADE NAME DBA | Select Rehabilitation |
| EMPLOYER ADDRESS1 | 2600 Compass Road |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Glenview |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60026 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | n/a |
| EMPLOYER PHONE | 18473863021 |
| EMPLOYER PHONE EXT | 0 |
| NAICS CODE | 62134 |
| EMPLOYER POC LAST NAME | OBryant |
| EMPLOYER POC FIRST NAME | Andrea |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Manager, Human Resources |
| EMPLOYER POC ADDRESS1 | 2600 Compass Road |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Glenview |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60026 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 18473863021 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | aobryant@selectrehab.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Maniquis |
| AGENT ATTORNEY FIRST NAME | Veda |
| AGENT ATTORNEY MIDDLE NAME | Theresa |
| AGENT ATTORNEY ADDRESS1 | 1401 Branding Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 300 |
| AGENT ATTORNEY CITY | Downers Grove |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60515 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | n/a |
| AGENT ATTORNEY PHONE | 13124712900 |
| AGENT ATTORNEY PHONE EXT | 10 |
| AGENT ATTORNEY EMAIL ADDRESS | immigration@walkerrobertsllp.com |
| LAWFIRM NAME BUSINESS NAME | Walker Roberts LLP |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court of Illinois |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Yes |
| SECONDARY ENTITY BUSINESS NAME | Stoneridge Creek Pleasanton |
| WORKSITE ADDRESS1 | 3300 Stoneridge Creek Way |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Pleasanton |
| WORKSITE COUNTY | ALAMEDA |
| WORKSITE STATE | CA |
| WORKSITE POSTAL CODE | 94588 |
| WAGE RATE OF PAY FROM | $52.84 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $66.00 |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $52.84 |
| PW UNIT OF PAY | Hour |
| 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 | 2 |
| 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 | 2024-11-01 |
