| LCA CASE NUMBER | I-200-23075-855003 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-03-16 |
| DECISION DATE | 2023-03-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physical Therapist |
| SOC CODE | 29-1123.00 |
| SOC TITLE | Physical Therapists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-04-03 |
| END DATE | 2026-04-02 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | WSB REHABILITATION SERVICES INC. |
| TRADE NAME DBA | Blue Sky Therapy |
| EMPLOYER ADDRESS1 | 1601 Second Street |
| EMPLOYER CITY | Moundsville |
| EMPLOYER STATE | WV |
| EMPLOYER POSTAL CODE | 26041 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13307020110 |
| EMPLOYER PHONE EXT | 122 |
| NAICS CODE | 621340 |
| EMPLOYER POC LAST NAME | Chambers |
| EMPLOYER POC FIRST NAME | Lisa |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 1601 Second Street |
| EMPLOYER POC CITY | Moundsville |
| EMPLOYER POC STATE | WV |
| EMPLOYER POC POSTAL CODE | 26041 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13307020110 |
| EMPLOYER POC EMAIL | lchambers@blueskytherapy.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Tang |
| AGENT ATTORNEY FIRST NAME | Shirley |
| AGENT ATTORNEY ADDRESS1 | 420 Lexington Avenue, Suite 2400 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10170 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19173387624 |
| AGENT ATTORNEY EMAIL ADDRESS | stang@ctswlaw.com |
| LAWFIRM NAME BUSINESS NAME | Cohen Tauber Spievack & Wagner P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | ProMedica Skilled Nursing and Rehabilitation |
| WORKSITE ADDRESS1 | 400 Barks Road West |
| LCA CASE WORKLOC1 CITY | Marion |
| WORKSITE COUNTY | MARION |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 43302 |
| LCA CASE WAGE RATE FROM | 43.36 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 43.36 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Tang |
| PREPARER FIRST NAME | Shirley |
| PREPARER BUSINESS NAME | Cohen Tauber Spievack & Wagner P.C. |
| PREPARER EMAIL | stang@ctswlaw.com |
