Active NPI
Timothy Dale Faw, PT, DPT, PHD
- Physical Therapist
- Baltimore, MD
National Provider Identifier
1861287773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 30245
- Practice address
- 100 Penn St
Baltimore, MD 21201-1082 - Phone
- (410) 706-5210
- NPI assigned
- Apr 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 30245 | MD | Primary |
Addresses
Primary practice location
100 Penn St
Baltimore, MD 21201-1082
Mailing address
100 Penn St
Baltimore, MD 21201-1082
Phone (410) 706-5210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30245 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744329600000",
"number": "1861287773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PENN ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011082",
"telephone_number": "410-706-5210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PENN ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011082",
"telephone_number": "410-706-5210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAW",
"first_name": "TIMOTHY",
"middle_name": "DALE",
"name_prefix": "Dr.",
"credential": "PT, DPT, PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-04-11",
"last_updated": "2025-04-11",
"certification_date": "2025-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MD",
"license": "30245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.