| LCA CASE NUMBER | I-200-21181-436923 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-30 |
| DECISION DATE | 2021-07-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physical Therapist Supervisor |
| SOC CODE | 29-1123.00 |
| SOC TITLE | Physical Therapists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-02 |
| END DATE | 2024-10-01 |
| 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 | Ultimate Therapy LLC |
| EMPLOYER ADDRESS1 | 7B MEDICAL PARK DRIVE |
| EMPLOYER CITY | POMONA |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10970 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18454143300 |
| NAICS CODE | 621340 |
| EMPLOYER POC LAST NAME | MILLMAN |
| EMPLOYER POC FIRST NAME | CHAIM |
| EMPLOYER POC JOB TITLE | DIRECTOR OF OPERATIONS |
| EMPLOYER POC ADDRESS1 | 7B MEDICAL PARK DRIVE |
| EMPLOYER POC CITY | POMONA |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10970 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18454143300 |
| EMPLOYER POC EMAIL | CMILLMAN@STERNREHAB.COM |
| 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 | Autumn Lake Healthcare at Norwalk |
| WORKSITE ADDRESS1 | 34 Midrocks Drive |
| LCA CASE WORKLOC1 CITY | Norwalk |
| WORKSITE COUNTY | FAIRFIELD |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6851 |
| LCA CASE WAGE RATE FROM | 106454 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 106454 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| 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 |
