| LCA CASE NUMBER | I-200-21125-289018 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-05 |
| DECISION DATE | 2021-05-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Staff Physical Therapist |
| SOC CODE | 29-1123.00 |
| SOC TITLE | Physical Therapists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-14 |
| END DATE | 2024-06-13 |
| 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 | Forever Fit Physical Therapy & Wellness LLC |
| EMPLOYER ADDRESS1 | 3901 National Drive |
| EMPLOYER ADDRESS2 | Suite 100 |
| EMPLOYER CITY | Burtonsville |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 20866 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13014211125 |
| NAICS CODE | 621340 |
| EMPLOYER POC LAST NAME | Frederic |
| EMPLOYER POC FIRST NAME | Krista |
| EMPLOYER POC JOB TITLE | Owner / Administrator |
| EMPLOYER POC ADDRESS 1 | 3901 National Drive |
| EMPLOYER POC ADDRESS 2 | Suite 100 |
| EMPLOYER POC CITY | Burtonsville |
| EMPLOYER POC STATE | MD |
| EMPLOYER POC POSTAL CODE | 20866 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13014211125 |
| EMPLOYER POC EMAIL | krista@foreverfitptw.com |
| AGENT REPRESENTING EMPLOYER | True |
| 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 |
| 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 | False |
| WORKSITE ADDRESS1 | 3901 National Drive |
| WORKSITE ADDRESS2 | Suite 100 |
| LCA CASE WORKLOC1 CITY | Burtonsville |
| WORKSITE COUNTY | MONTGOMERY |
| LCA CASE WORKLOC1 STATE | MD |
| WORKSITE POSTAL CODE | 20866 |
| LCA CASE WAGE RATE FROM | 83000 |
| LCA CASE WAGE RATE TO | 90000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 39.63 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| 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 |
