| LCA CASE NUMBER | I-200-20261-828705 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-09-17 |
| DECISION DATE | 2020-09-24 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PHYSICAL THERAPIST |
| SOC CODE | 29-1123.00 |
| SOC TITLE | Physical Therapists |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-10-01 |
| END DATE | 2023-09-30 |
| 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 | DR. MA'S MEDICAL REHAB., P.C. |
| EMPLOYER ADDRESS1 | 136-20 38th Avenue |
| EMPLOYER ADDRESS2 | Suite 6M |
| EMPLOYER CITY | Flushing |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11354 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17188881513 |
| NAICS CODE | 621340 |
| EMPLOYER POC LAST NAME | Ma |
| EMPLOYER POC FIRST NAME | Keyan |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 136-20 38th Avenue |
| EMPLOYER POC ADDRESS2 | Suite 6M |
| EMPLOYER POC CITY | Flushing |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 11354 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17188881513 |
| EMPLOYER POC EMAIL | KEYANMA71@GMAIL.COM |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Yan |
| AGENT ATTORNEY FIRST NAME | David |
| AGENT ATTORNEY ADDRESS1 | 136-20 38th Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 11E |
| AGENT ATTORNEY CITY | Flushing |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 11354 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17188887788.0 |
| AGENT ATTORNEY EMAIL ADDRESS | davidyanlawoffice@gmail.com |
| LAWFIRM NAME BUSINESS NAME | Law Offices of David Yan |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York State Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 136-20 38th Avenue |
| WORKSITE ADDRESS2 | Suite 6M |
| LCA CASE WORKLOC1 CITY | Flushing |
| WORKSITE COUNTY | QUEENS |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 11354 |
| LCA CASE WAGE RATE FROM | 35.25 |
| LCA CASE WAGE RATE TO | 40.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 35.25 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | Yan |
| PREPARER FIRST NAME | David |
| PREPARER BUSINESS NAME | Law Offices of David Yan |
| PREPARER EMAIL | davidyanlawoffice@gmail.com |
