| LCA CASE NUMBER | I-200-21069-136482 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-10 |
| DECISION DATE | 2021-03-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician Assistant |
| SOC CODE | 29-1071.00 |
| SOC TITLE | Physician Assistants |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-08 |
| END DATE | 2024-09-07 |
| 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 | Occupational Health Centers of the Southwest , P.A. |
| TRADE NAME DBA | Concentra Medical Centers |
| EMPLOYER ADDRESS1 | 5080 Spectrum |
| EMPLOYER ADDRESS2 | Suite 1200W |
| EMPLOYER CITY | Addison |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 75001 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18002323550 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Smith |
| EMPLOYER POC FIRST NAME | Courtney |
| EMPLOYER POC JOB TITLE | Senior Corporate Paralegal - Select Medical |
| EMPLOYER POC ADDRESS 1 | 4714 Gettysburg Rd. |
| EMPLOYER POC CITY | Mechanicsburg, |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 17055 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17179754541 |
| EMPLOYER POC EMAIL | coismith@selectmedical.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Bartelli |
| AGENT ATTORNEY FIRST NAME | Carolyn |
| AGENT ATTORNEY MIDDLE NAME | Gutierrez |
| AGENT ATTORNEY ADDRESS1 | 2801 VIA FORTUNA |
| AGENT ATTORNEY ADDRESS2 | SUITE 530 |
| AGENT ATTORNEY CITY | AUSTIN |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 78746 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15127328900 |
| AGENT ATTORNEY EMAIL ADDRESS | carolyn@boulettegolden.com |
|
| LAWFIRM NAME BUSINESS NAME | Boulette Golden & Marin L.L.P. |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court of Texas |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 8101 Pulaski Hwy., Ste. H |
| LCA CASE WORKLOC1 CITY | Baltimore |
| WORKSITE COUNTY | BALTIMORE |
| LCA CASE WORKLOC1 STATE | MD |
| WORKSITE POSTAL CODE | 21237 |
| LCA CASE WAGE RATE FROM | 134509.08 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 89544 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
