The first President to throw out a first pitch in Major League Baseball was William Howard Taft in 1910. So none of the earlier Presidents did. Since then, every US President has tossed a pitch in either the All Star Game, the World Series, or the first game of the baseball season.
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William Howard Taft was the first President to do the honors when he threw a ball from his seat in the stands to the Washington Senator's opening day pitcher, Walter Johnson, on April 14, 1910.
The first person to throw a pitch in a major league baseball game was Bobby Mathews of the Fort Wayne Kekiongas against the Cleveland Forest Cities on May 4, 1871. The first batter in a major league game, Deacon White, hit a double. I don't know if it was on the first pitch, though.
Theodore Roosevelt did the first pitch in a baseball game so the players can see how amazing he was at throwing and pitching and catching and batting and fielding and holding a baseball.
Don Larson
233 pitches