| LCA CASE NUMBER | I-200-21297-664171 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-23 |
| DECISION DATE | 2021-10-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physical Therapist-DOR |
| SOC CODE | 29-1123.00 |
| SOC TITLE | Physical Therapists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-11-01 |
| END DATE | 2024-10-30 |
| 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 | INTERFACE REHAB INC. |
| EMPLOYER ADDRESS1 | 774 S Placentia Avenue |
| EMPLOYER ADDRESS2 | Suite # 200 |
| EMPLOYER CITY | Placentia |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 92870 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17146468904 |
| NAICS CODE | 62134 |
| EMPLOYER POC LAST NAME | VU |
| EMPLOYER POC FIRST NAME | JANSEN |
| EMPLOYER POC JOB TITLE | Controller |
| EMPLOYER POC ADDRESS1 | 774 S PLACENTIA AVENUE |
| EMPLOYER POC ADDRESS2 | Suite # 200 |
| EMPLOYER POC CITY | Placentia |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 92870 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17146468904 |
| EMPLOYER POC EMAIL | JANSEN@INTERFACEREHAB.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Shah |
| AGENT ATTORNEY FIRST NAME | Bharati |
| AGENT ATTORNEY ADDRESS1 | P O Box 418 |
| AGENT ATTORNEY CITY | Placentia |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92871 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17145252000 |
| AGENT ATTORNEY EMAIL ADDRESS | bharatilaw@gmail.com |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Bharati Shah |
| STATE OF HIGHEST COURT | CA |
|
| NAME OF HIGHEST STATE COURT | CA |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Northvine Post Acute |
| WORKSITE ADDRESS1 | 446 Arrowood Drive |
| LCA CASE WORKLOC1 CITY | Santa Rosa |
| WORKSITE COUNTY | SONOMA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95407 |
| LCA CASE WAGE RATE FROM | 50 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 46.47 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Shah |
| PREPARER FIRST NAME | Bharati |
| PREPARER BUSINESS NAME | Law Offices of Bharati Shah |
| PREPARER EMAIL | bharatilaw@gmail.com |
