| LCA CASE NUMBER | I-200-20233-778351 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-08-20 |
| DECISION DATE | 2020-08-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physical Therapist / Site Manager |
| SOC CODE | 29-1123.00 |
| SOC TITLE | Physical Therapists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-11-06 |
| END DATE | 2023-11-05 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Island Musculoskeletal Care MD PC |
| EMPLOYER ADDRESS1 | 1512 Broadway |
| EMPLOYER CITY | Hewlett |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11557 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15163746838 |
| EMPLOYER PHONE EXT | 118.0 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Chimato |
| EMPLOYER POC FIRST NAME | Sandra |
| EMPLOYER POC JOB TITLE | Practice Manager |
| EMPLOYER POC ADDRESS1 | 1512 Broadway |
| EMPLOYER POC CITY | Hewlett |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 11557 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15163746838 |
| EMPLOYER POC PHONE EXT | 118.0 |
| EMPLOYER POC EMAIL | sandy@imcbonedoc.net |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Hom |
| AGENT ATTORNEY FIRST NAME | Harold |
| AGENT ATTORNEY MIDDLE NAME | Lee |
| AGENT ATTORNEY ADDRESS1 | 30200 Detroit Road |
| AGENT ATTORNEY ADDRESS2 | Suite D |
| AGENT ATTORNEY CITY | Westlake |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 44145 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14402500400.0 |
| AGENT ATTORNEY EMAIL ADDRESS | harold@homlaw.net |
| LAWFIRM NAME BUSINESS NAME | Harold L. Hom Co., LPA |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 109-07 Jamaica Avenue |
| LCA CASE WORKLOC1 CITY | Richmond Hill |
| WORKSITE COUNTY | QUEENS |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 11418 |
| LCA CASE WAGE RATE FROM | 100000.0 |
| LCA CASE WAGE RATE TO | 130000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 97386.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Hom |
| PREPARER FIRST NAME | Harold |
| PREPARER MIDDLE INITIAL | L |
| PREPARER BUSINESS NAME | Harold L. Hom Co., LPA |
| PREPARER EMAIL | harold@homlaw.net |
