| LCA CASE NUMBER | I-200-20289-878905 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-10-15 |
| DECISION DATE | 2020-10-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PHYSICAL THERAPIST |
| SOC CODE | 29-1123.00 |
| SOC TITLE | Physical Therapists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-10-22 |
| END DATE | 2023-10-21 |
| 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 | PRO FORM PHYSICAL THERAPY, P.C. |
| EMPLOYER ADDRESS1 | 1975 UNIVERSITY AVENUE |
| EMPLOYER CITY | BRONX |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10453 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17186180052 |
| NAICS CODE | 621340 |
| EMPLOYER POC LAST NAME | HANNA |
| EMPLOYER POC FIRST NAME | SAM |
| EMPLOYER POC JOB TITLE | PRESIDENT |
| EMPLOYER POC ADDRESS 1 | 1975 UNIVERSITY AVENUE |
| EMPLOYER POC CITY | BRONX |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10453 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17186180052 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | MIANE |
| AGENT ATTORNEY FIRST NAME | JOEMAR |
| AGENT ATTORNEY MIDDLE NAME | GARROVILLO |
| AGENT ATTORNEY ADDRESS1 | 16 MARTINO WAY |
| AGENT ATTORNEY CITY | Pomona |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10970 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18453646392 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Joemar G. Miane |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1888B WESTCHESTER AVENUE |
| LCA CASE WORKLOC1 CITY | BRONX |
| WORKSITE COUNTY | BRONX |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10472 |
| LCA CASE WAGE RATE FROM | 45 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 44.72 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 10/08/2020 - 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 | MIANE |
| PREPARER FIRST NAME | JOEMAR |
| PREPARER MIDDLE INITIAL | G |
| PREPARER BUSINESS NAME | Law Offices of Joemar G. Miane |
| PREPARER EMAIL | [email protected] |
