Published AAO appeal decisions

Exercise physiologist sought EB-2 with national interest waiver for wellness company. Claimed professional importance and patient testimonials. AAO dismissed appeal, finding petitioner failed to demonstrate endeavor's national importance; publications addressed profession generally not specific endeavor; patient letters and credentials showed limited impact.

Mental health counselor with advanced degree sought NIW for independent practice. Petitioner argued field importance and her expertise; AAO affirmed denial because proposed solo practice lacked national importance, operating only at individual patient level without business plan, projections, or broader regional or national impact.

Physical therapist and entrepreneur seeking EB-2 NIW to develop and operate physical therapy clinic in Florida with expansion plans. Petitioner submitted business plan claiming national importance through job creation and economic impact. AAO dismissed appeal, finding petitioner failed to establish national importance of specific endeavor and was not well positioned to advance it.

Pharmacist seeks EB-2 NIW to work in clinics treating elderly patients with comorbidities. AAO held endeavor lacks national importance; treating specific populations in particular settings does not constitute national-level impact regardless of occupational shortage or industry importance.

Nurse seeking EB-2 with NIW claimed her elderly care work would benefit the United States. AAO affirmed denial, finding her proposed endeavor lacked national importance under Dhanasar; specific work in one healthcare setting did not demonstrate field-wide impact.

A physician sought an EB-2 national interest waiver to avoid labor certification for a proposed business venture. The AAO dismissed the appeal, finding the business plan lacked sufficient documentation of national importance, containing only local or company-specific impact without evidence of broader economic or field advancement.

Physical therapist with advanced degree sought national interest waiver for EB-2. AAO found the proposed endeavor lacks demonstrated national importance and applicant failed to show she is well-positioned to advance it. Appeal dismissed.

Physical therapist sought EB-2 with national interest waiver. AAO held proposed endeavor lacked national importance; petitioner materially changed her endeavor between initial filing and RFE response, and field shortage does not establish national importance under Dhanasar framework.

Physical therapist sought NIW for EB-2 classification to operate her own clinic. AAO affirmed denial, finding her specific endeavor lacked national importance under Dhanasar's first prong because benefits would extend only to her individual patients, not the field or nation broadly, and thus did not warrant labor certification waiver.

Physician and entrepreneur seeking NIW for EB-2 advanced degree classification. Claimed national importance based on employment creation and economic benefits of medical clinics. AAO held proposed endeavor lacks demonstrated national importance; appeal arguments did not overcome Director's finding of insufficient evidence.

A nurse seeking EB-2 with NIW claimed critical care nursing and later a healthcare business would have national importance. The AAO affirmed dismissal, finding the endeavor lacked national importance; industry importance and employment experience do not establish prospective impact beyond immediate scope required.

Physician specializing in oncologic breast surgery sought EB-2 with national interest waiver. AAO held proposed endeavor lacked the national importance required under Dhanasar first prong because petitioner failed to demonstrate broader implications or substantial prospective impact beyond individual medical practice.

Certified nursing assistant with advanced degree seeks EB-2 NIW to operate online nursing consulting and medical training business. AAO held petitioner not qualified as advanced degree professional and failed substantial merit and national importance prongs due to vague goals, incomplete business plan, and weak evidence of market demand or funding.

Nurse sought EB-2 NIW as advanced degree professional and nursing educator. AAO affirmed director's finding of advanced degree qualification but found proposed endeavor insufficiently specific and lacked demonstrated national importance. Appeal dismissed.

Occupational therapist entrepreneur seeking EB-2 NIW for women's wellness and massage clinic claimed national importance based on small business, preventive healthcare, and job creation. AAO held specific endeavor lacks national importance because it would serve regional clientele only without broader field implications, and projected revenues and employment figures insufficient to demonstrate substantial economic effects.

A nurse with advanced degree sought EB-2 classification and NIW. AAO affirmed denial, finding the proposed nursing work lacks national importance and does not impact the field broadly. Substantial merit was found but national importance was not established.

An entrepreneur with an advanced degree seeking EB-2 NIW classification proposed a mental health services company offering online consultations and coaching. The AAO dismissed the appeal, finding substantial merit but no national importance; the business would benefit its own clients rather than impact the broader mental health field.

Surgeon with Brazilian medical license seeks NIW for EB-2 to work at U.S. clinical foundation. AAO affirmed denial because proposed clinical role lacked national importance. Work described typical surgeon duties without demonstrating broader medical field impact.

A nurse proposing to own an assisted living facility sought EB-2 national interest waiver. The AAO dismissed her appeal because her specific endeavor lacked national importance: the facility would employ few workers and provide only localized benefits insufficient to demonstrate impact on healthcare industry broadly or substantial economic effects.

Nurse with advanced degree seeks EB-2 NIW for direct patient care or home health service venture. AAO affirmed denial because proposed endeavor lacks national importance; expert nursing services and industry shortage claims do not demonstrate impact beyond specific employer or region.

Adapted physical education specialist and entrepreneur sought NIW for aquatic sports and exercise business. Proposed endeavor had substantial merit but lacked national importance; evidence showed limited local impact without broader industry implications or substantial economic effects warranting waiver.

Radiology technician sought EB-2 exceptional ability with NIW. AAO dismissed appeal finding petitioner met only one of required three criteria due to insufficient documentation of work experience, professional license, and salary comparison supporting exceptional ability claim.

Self-petitioner physical therapist seeking NIW as EB-2. Claimed endeavor aligns with public health national interests. AAO held specific endeavor of treating patients at single facility lacks demonstrated national or global field implications and broader economic impact required under Dhanasar framework.

A dentist self-petitioning for NIW sought waiver of job offer for EB-2 advanced degree classification. He proposed buying and expanding a Texas dental clinic. AAO dismissed the appeal, finding while his endeavor had national importance, he was not well positioned to advance it at filing and adjudication because he lacked state licensure until six months after petition filing.

A physical therapist sought EB-2 NIW classification. The AAO withdrew the Director's misrepresentation finding and accepted substantial merit of the proposed work, but found the specific endeavor lacks national importance due to insufficient evidence of broader field impact or significant economic effects. Appeal dismissed.