| LCA CASE NUMBER | I-200-24309-451497 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-11-04 |
| DECISION DATE | 2024-11-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physical Therapist / Clinical Director |
| SOC CODE | 29-1123 |
| SOC TITLE | Physical Therapists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-11-18 |
| END DATE | 2027-11-17 |
| 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 | STAC Physical Therapy Sonoma, Inc. |
| TRADE NAME DBA | North Santa Rosa Physical Therapy |
| EMPLOYER ADDRESS1 | 1400 N. Dutton |
| EMPLOYER ADDRESS2 | Suite 1 |
| EMPLOYER CITY | Santa Rosa |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95401 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14248324711 |
| EMPLOYER FEIN | 86-3144999 |
| NAICS CODE | 621340 |
| EMPLOYER POC LAST NAME | Nativ |
| EMPLOYER POC FIRST NAME | Or |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 2001 Oak Ave. |
| EMPLOYER POC CITY | Manhattan Beach |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 90266 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14248324711 |
| EMPLOYER POC EMAIL | or@emeryvillept.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kaltenbach |
| AGENT ATTORNEY FIRST NAME | Adam |
| AGENT ATTORNEY MIDDLE NAME | K |
| AGENT ATTORNEY ADDRESS1 | 14781 Pomerado Road |
| AGENT ATTORNEY ADDRESS2 | Ste. 21 |
| AGENT ATTORNEY CITY | Poway |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92064 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19189918670 |
| AGENT ATTORNEY EMAIL ADDRESS | akk@akaltenbachlaw.onmicrosoft.com |
| LAWFIRM NAME BUSINESS NAME | A. Kaltenbach Law, A.P.C. |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | State Bar of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1400 N. Dutton |
| WORKSITE ADDRESS2 | Suite 1 |
| LCA CASE WORKLOC1 CITY | Santa Rosa |
| WORKSITE COUNTY | SONOMA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95401 |
| LCA CASE WAGE RATE FROM | 65 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 59.03 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Kaltenbach |
| PREPARER FIRST NAME | Adam |
| PREPARER MIDDLE INITIAL | K |
| PREPARER BUSINESS NAME | A. Kaltenbach Law, A.P.C. |
| PREPARER EMAIL | akk@akaltenbachlaw.onmicrosoft.com |